- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,965.74 / $18,213.70 / $29,326.40
| Facility | | $7,965.74 | $18,213.70 | $29,326.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,666.70 / $24,333.37
| Facility | | $1,474.01 | $8,666.70 | $24,333.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,278.07 / $18,038.02 / $26,977.52
| Facility | | $12,278.07 | $18,038.02 | $26,977.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,820.39 / $15,972.38 / $33,543.96
| Facility | | $10,820.39 | $15,972.38 | $33,543.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,820.39 / $19,487.30 / $28,796.32
| Facility | | $10,820.39 | $19,487.30 | $28,796.32 |