- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,096.79 / $16,226.80 / $26,127.30
| Facility | | $7,096.79 | $16,226.80 | $26,127.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,208.81 / $24,818.68
| Facility | | $1,474.01 | $7,208.81 | $24,818.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,746.14 / $16,070.32 / $24,034.65
| Facility | | $11,746.14 | $16,070.32 | $24,034.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,267.41 / $14,230.01 / $29,884.78
| Facility | | $10,267.41 | $14,230.01 | $29,884.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,640.03 / $14,230.01 / $30,270.65
| Facility | | $9,640.03 | $14,230.01 | $30,270.65 |