- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,428.10 / $19,270.90 / $31,028.50
| Facility | | $8,428.10 | $19,270.90 | $31,028.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,643.81 / $27,104.39
| Facility | | $1,474.01 | $10,643.81 | $27,104.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,949.62 / $20,148.91 / $28,543.37
| Facility | | $13,949.62 | $20,148.91 | $28,543.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,193.50 / $16,899.46 / $34,902.90
| Facility | | $12,193.50 | $16,899.46 | $34,902.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,179.07 / $16,023.00 / $30,467.73
| Facility | | $11,179.07 | $16,023.00 | $30,467.73 |