- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,139.25 / $20,896.90 / $33,646.69
| Facility | | $9,139.25 | $20,896.90 | $33,646.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,784.94 / $29,010.00
| Facility | | $1,474.01 | $10,784.94 | $29,010.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,126.68 / $21,849.06 / $30,951.83
| Facility | | $15,126.68 | $21,849.06 | $30,951.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,222.38 / $18,325.41 / $38,485.62
| Facility | | $13,222.38 | $18,325.41 | $38,485.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,414.44 / $18,325.41 / $38,982.55
| Facility | | $12,414.44 | $18,325.41 | $38,982.55 |