- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,261.60 / $13,506.50 / $21,925.30
| Facility | | $9,261.60 | $13,506.50 | $21,925.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,805.07 / $33,842.44 / $43,387.76
| Facility | | $23,805.07 | $33,842.44 | $43,387.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,875.29 / $21,026.36 / $26,594.55
| Facility | | $10,875.29 | $21,026.36 | $26,594.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,662.94 / $14,525.30 / $23,226.50
| Facility | | $9,662.94 | $14,525.30 | $23,226.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,300.70 / $19,324.33 / $29,359.27
| Facility | | $11,300.70 | $19,324.33 | $29,359.27 |