- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,288.70 / $18,952.09 / $30,515.40
| Facility | | $8,288.70 | $18,952.09 | $30,515.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,625.32 / $26,077.77
| Facility | | $1,474.01 | $9,625.32 | $26,077.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,191.02 / $18,769.34 / $28,071.30
| Facility | | $13,191.02 | $18,769.34 | $28,071.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,991.84 / $16,619.96 / $34,903.97
| Facility | | $11,991.84 | $16,619.96 | $34,903.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,259.09 / $16,619.96 / $35,354.65
| Facility | | $11,259.09 | $16,619.96 | $35,354.65 |