- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,501.66 / $21,725.60 / $34,980.90
| Facility | | $9,501.66 | $21,725.60 | $34,980.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,159.64 / $36,023.62
| Facility | | $1,474.01 | $13,159.64 | $36,023.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,726.52 / $21,516.03 / $32,179.21
| Facility | | $15,726.52 | $21,516.03 | $32,179.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,906.73 / $19,052.09 / $40,011.76
| Facility | | $12,906.73 | $19,052.09 | $40,011.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,906.73 / $19,052.09 / $34,348.69
| Facility | | $12,906.73 | $19,052.09 | $34,348.69 |