- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,304.41 / $21,274.60 / $34,254.80
| Facility | | $9,304.41 | $21,274.60 | $34,254.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,615.60 / $33,959.31
| Facility | | $1,474.01 | $12,615.60 | $33,959.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,400.04 / $21,069.37 / $31,511.18
| Facility | | $15,400.04 | $21,069.37 | $31,511.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,638.79 / $18,656.59 / $39,181.14
| Facility | | $12,638.79 | $18,656.59 | $39,181.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,638.79 / $20,523.00 / $33,635.62
| Facility | | $12,638.79 | $20,523.00 | $33,635.62 |