- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $19,054.61 / $44,668.36
| Facility | | $10,471.29 | $19,054.61 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $17,378.01 / $24,547.09
| Facility | | $13,803.84 | $17,378.01 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $9,120.11 / $17,782.79
| Facility | | $5,623.41 | $9,120.11 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $17,782.79 / $21,379.62
| Facility | | $12,589.25 | $17,782.79 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $23,442.29 / $35,481.34
| Facility | | $6,918.31 | $23,442.29 | $35,481.34 |