- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,852.04 / $20,240.20 / $32,589.40
| Facility | | $8,852.04 | $20,240.20 | $32,589.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,757.64 / $17,561.58 / $24,573.70
| Facility | | $8,757.64 | $17,561.58 | $24,573.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,563.44 / $28,371.97
| Facility | | $1,474.01 | $13,563.44 | $28,371.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,651.33 / $21,162.47 / $29,979.18
| Facility | | $14,651.33 | $21,162.47 | $29,979.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,806.87 / $17,749.55 / $36,658.61
| Facility | | $12,806.87 | $17,749.55 | $36,658.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,024.32 / $17,749.55 / $37,757.54
| Facility | | $12,024.32 | $17,749.55 | $37,757.54 |