- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,322.90 / $19,030.30 / $30,641.20
| Facility | | $8,322.90 | $19,030.30 | $30,641.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,359.01 / $26,665.45
| Facility | | $1,474.01 | $10,359.01 | $26,665.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,775.50 / $19,897.41 / $28,187.09
| Facility | | $13,775.50 | $19,897.41 | $28,187.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,041.30 / $16,688.52 / $35,047.94
| Facility | | $12,041.30 | $16,688.52 | $35,047.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,633.68 / $16,228.07 / $30,087.43
| Facility | | $10,633.68 | $16,228.07 | $30,087.43 |