- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,460.26 / $17,057.90 / $27,465.40
| Facility | | $7,460.26 | $17,057.90 | $27,465.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,067.58 / $20,433.61
| Facility | | $1,474.01 | $10,067.58 | $20,433.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,347.72 / $17,835.12 / $25,265.60
| Facility | | $12,347.72 | $17,835.12 | $25,265.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,793.26 / $14,958.81 / $31,415.35
| Facility | | $10,793.26 | $14,958.81 | $31,415.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,133.75 / $14,958.81 / $31,820.98
| Facility | | $10,133.75 | $14,958.81 | $31,820.98 |