- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,494.45 / $17,136.09 / $27,591.30
| Facility | | $7,494.45 | $17,136.09 | $27,591.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,014.89 / $25,804.58
| Facility | | $1,474.01 | $9,014.89 | $25,804.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,232.00 / $16,970.79 / $25,381.39
| Facility | | $12,232.00 | $16,970.79 | $25,381.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,842.73 / $15,027.37 / $31,559.32
| Facility | | $10,842.73 | $15,027.37 | $31,559.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,180.20 / $15,027.37 / $31,966.81
| Facility | | $10,180.20 | $15,027.37 | $31,966.81 |