- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,074.10 / $18,461.40 / $29,725.30
| Facility | | $8,074.10 | $18,461.40 | $29,725.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,454.79 / $25,392.23
| Facility | | $1,474.01 | $10,454.79 | $25,392.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,363.71 / $19,302.63 / $27,344.49
| Facility | | $13,363.71 | $19,302.63 | $27,344.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,681.35 / $16,189.65 / $34,000.25
| Facility | | $11,681.35 | $16,189.65 | $34,000.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,967.58 / $16,189.65 / $34,439.26
| Facility | | $10,967.58 | $16,189.65 | $34,439.26 |