- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,170.96 / $16,396.40 / $26,400.30
| Facility | | $7,170.96 | $16,396.40 | $26,400.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,081.93 / $22,724.72
| Facility | | $1,474.01 | $9,081.93 | $22,724.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,868.89 / $17,143.50 / $24,285.83
| Facility | | $11,868.89 | $17,143.50 | $24,285.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,374.70 / $14,378.73 / $30,197.10
| Facility | | $10,374.70 | $14,378.73 | $30,197.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,740.78 / $14,378.73 / $30,587.00
| Facility | | $9,740.78 | $14,378.73 | $30,587.00 |