- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,018.87 / $18,335.20 / $29,521.90
| Facility | | $8,018.87 | $18,335.20 | $29,521.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,531.45 / $24,699.90
| Facility | | $1,474.01 | $9,531.45 | $24,699.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,272.30 / $19,170.59 / $27,157.44
| Facility | | $13,272.30 | $19,170.59 | $27,157.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,601.45 / $16,078.90 / $33,767.68
| Facility | | $11,601.45 | $16,078.90 | $33,767.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,892.55 / $16,078.90 / $34,203.68
| Facility | | $10,892.55 | $16,078.90 | $34,203.68 |