- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,454.79 / $13,788.20 / $22,382.70
| Facility | | $9,454.79 | $13,788.20 | $22,382.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,152.74 / $35,758.37 / $45,844.07
| Facility | | $25,152.74 | $35,758.37 | $45,844.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,102.16 / $21,464.98 / $27,149.32
| Facility | | $11,102.16 | $21,464.98 | $27,149.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,864.51 / $14,828.30 / $23,711.10
| Facility | | $9,864.51 | $14,828.30 | $23,711.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,536.43 / $19,727.43 / $29,971.72
| Facility | | $11,536.43 | $19,727.43 | $29,971.72 |