- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,734.23 / $19,970.80 / $32,155.60
| Facility | | $8,734.23 | $19,970.80 | $32,155.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,052.45 / $27,284.21
| Facility | | $1,474.01 | $11,052.45 | $27,284.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,456.31 / $20,880.79 / $29,580.15
| Facility | | $14,456.31 | $20,880.79 | $29,580.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,636.41 / $17,513.29 / $36,780.08
| Facility | | $12,636.41 | $17,513.29 | $36,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,636.41 / $21,282.63 / $37,254.98
| Facility | | $12,636.41 | $21,282.63 | $37,254.98 |