- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,452.21 / $21,612.50 / $34,798.90
| Facility | | $9,452.21 | $21,612.50 | $34,798.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,935.62 / $32,767.64
| Facility | | $1,474.01 | $7,935.62 | $32,767.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,644.68 / $22,597.28 / $32,011.76
| Facility | | $15,644.68 | $22,597.28 | $32,011.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,675.17 / $18,952.96 / $39,803.55
| Facility | | $13,675.17 | $18,952.96 | $39,803.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,565.76 / $18,430.03 / $34,169.96
| Facility | | $12,565.76 | $18,430.03 | $34,169.96 |