- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,590.71 / $17,356.20 / $27,945.60
| Facility | | $7,590.71 | $17,356.20 | $27,945.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,791.39 / $22,851.99
| Facility | | $1,474.01 | $8,791.39 | $22,851.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,563.63 / $18,146.98 / $25,707.38
| Facility | | $12,563.63 | $18,146.98 | $25,707.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,981.99 / $15,220.38 / $31,964.67
| Facility | | $10,981.99 | $15,220.38 | $31,964.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,310.95 / $15,220.38 / $32,377.39
| Facility | | $10,310.95 | $15,220.38 | $32,377.39 |