- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.26 / $12,542.40 / $19,364.30
| Facility | | $8,534.26 | $12,542.40 | $19,364.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,573.70 / $27,826.94 / $35,675.57
| Facility | | $19,573.70 | $27,826.94 | $35,675.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,605.01 / $18,570.38 / $23,488.17
| Facility | | $9,605.01 | $18,570.38 | $23,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.26 / $12,828.70 / $20,513.59
| Facility | | $8,534.26 | $12,828.70 | $20,513.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,980.71 / $17,067.15 / $25,929.97
| Facility | | $9,980.71 | $17,067.15 | $25,929.97 |