- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,246.10 / $18,854.70 / $30,358.50
| Facility | | $8,246.10 | $18,854.70 | $30,358.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,492.55 / $27,683.03
| Facility | | $1,474.01 | $13,492.55 | $27,683.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,710.21 / $18,672.87 / $27,927.01
| Facility | | $12,710.21 | $18,672.87 | $27,927.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,930.20 / $16,534.53 / $34,724.56
| Facility | | $11,930.20 | $16,534.53 | $34,724.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,201.22 / $16,534.53 / $35,172.92
| Facility | | $11,201.22 | $16,534.53 | $35,172.92 |