- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,886.84 / $18,033.30 / $29,035.90
| Facility | | $7,886.84 | $18,033.30 | $29,035.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,554.40 / $25,315.87
| Facility | | $1,474.01 | $10,554.40 | $25,315.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,053.78 / $18,854.96 / $26,710.31
| Facility | | $13,053.78 | $18,854.96 | $26,710.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,410.43 / $15,814.17 / $33,211.71
| Facility | | $11,410.43 | $15,814.17 | $33,211.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,713.21 / $15,814.17 / $33,640.54
| Facility | | $10,713.21 | $15,814.17 | $33,640.54 |