- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,914.72 / $18,097.00 / $29,138.50
| Facility | | $7,914.72 | $18,097.00 | $29,138.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,901.92 / $26,142.26
| Facility | | $1,474.01 | $10,901.92 | $26,142.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,099.92 / $18,921.59 / $26,804.73
| Facility | | $13,099.92 | $18,921.59 | $26,804.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,450.77 / $15,870.07 / $33,329.11
| Facility | | $11,450.77 | $15,870.07 | $33,329.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,751.08 / $15,870.07 / $33,759.44
| Facility | | $10,751.08 | $15,870.07 | $33,759.44 |