- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,006.80 / $10,218.29 / $16,587.40
| Facility | | $7,006.80 | $10,218.29 | $16,587.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,102.83 / $27,157.53 / $34,817.33
| Facility | | $19,102.83 | $27,157.53 | $34,817.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,227.62 / $15,907.35 / $20,119.91
| Facility | | $8,227.62 | $15,907.35 | $20,119.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,310.43 / $10,989.00 / $17,571.90
| Facility | | $7,310.43 | $10,989.00 | $17,571.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,549.45 / $14,619.69 / $22,211.56
| Facility | | $8,549.45 | $14,619.69 | $22,211.56 |