- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,476.04 / $17,094.00 / $27,523.50
| Facility | | $7,476.04 | $17,094.00 | $27,523.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,258.81 / $25,241.21
| Facility | | $1,474.01 | $9,258.81 | $25,241.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,373.84 / $17,872.84 / $25,319.04
| Facility | | $12,373.84 | $17,872.84 | $25,319.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,816.09 / $14,625.18 / $31,481.80
| Facility | | $10,816.09 | $14,625.18 | $31,481.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,155.19 / $14,990.45 / $31,888.29
| Facility | | $10,155.19 | $14,990.45 | $31,888.29 |