- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $14,791.08 / $33,113.11
| Facility | | $10,232.93 | $14,791.08 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $13,803.84 / $23,988.33
| Facility | | $7,244.36 | $13,803.84 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $11,748.98 / $23,988.33
| Facility | | $8,511.38 | $11,748.98 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $17,378.01 / $20,417.38
| Facility | | $12,022.64 | $17,378.01 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $22,908.68 / $34,673.69
| Facility | | $6,918.31 | $22,908.68 | $34,673.69 |