- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,379.62 / $27,542.29
| Facility | | $14,454.40 | $21,379.62 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $9,120.11 / $19,498.45
| Facility | | $4,677.35 | $9,120.11 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $10,232.93 / $19,054.61
| Facility | | $7,413.10 | $10,232.93 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $10,232.93 / $19,054.61
| Facility | | $7,413.10 | $10,232.93 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $13,182.57 / $20,892.96
| Facility | | $5,370.32 | $13,182.57 | $20,892.96 |