- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,676.97 / $17,553.40 / $28,263.20
| Facility | | $7,676.97 | $17,553.40 | $28,263.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,998.92 / $23,693.65
| Facility | | $1,474.01 | $8,998.92 | $23,693.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,706.41 / $18,353.21 / $25,999.53
| Facility | | $12,706.41 | $18,353.21 | $25,999.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,106.80 / $15,393.35 / $32,327.93
| Facility | | $11,106.80 | $15,393.35 | $32,327.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,428.12 / $15,393.35 / $32,745.34
| Facility | | $10,428.12 | $15,393.35 | $32,745.34 |