- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,435.91 / $21,575.20 / $34,738.90
| Facility | | $9,435.91 | $21,575.20 | $34,738.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,950.24 / $31,585.87
| Facility | | $1,474.01 | $11,950.24 | $31,585.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,617.69 / $22,558.29 / $31,956.53
| Facility | | $15,617.69 | $22,558.29 | $31,956.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,651.58 / $18,920.25 / $39,734.89
| Facility | | $13,651.58 | $18,920.25 | $39,734.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,596.96 / $22,992.42 / $34,111.01
| Facility | | $14,596.96 | $22,992.42 | $34,111.01 |