- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,743.25 / $17,704.90 / $28,507.20
| Facility | | $7,743.25 | $17,704.90 | $28,507.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,436.95 / $25,639.52
| Facility | | $1,474.01 | $9,436.95 | $25,639.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,816.10 / $18,511.66 / $26,223.99
| Facility | | $12,816.10 | $18,511.66 | $26,223.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,518.15 / $15,526.24 / $32,607.02
| Facility | | $10,518.15 | $15,526.24 | $32,607.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,518.15 / $15,526.24 / $27,991.98
| Facility | | $10,518.15 | $15,526.24 | $27,991.98 |