- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,930.95 / $20,420.59 / $32,879.80
| Facility | | $8,930.95 | $20,420.59 | $32,879.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,506.15 / $27,823.87
| Facility | | $1,474.01 | $9,506.15 | $27,823.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,781.92 / $21,351.09 / $30,246.39
| Facility | | $14,781.92 | $21,351.09 | $30,246.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,921.02 / $17,907.75 / $37,608.49
| Facility | | $12,921.02 | $17,907.75 | $37,608.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,131.50 / $17,907.75 / $38,094.08
| Facility | | $12,131.50 | $17,907.75 | $38,094.08 |