- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,264.91 / $16,971.09 / $24,029.20
| Facility | | $9,264.91 | $16,971.09 | $24,029.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,456.08 / $17,174.66 / $28,263.21
| Facility | | $10,456.08 | $17,174.66 | $28,263.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,632.70 / $15,266.37 / $27,161.30
| Facility | | $9,632.70 | $15,266.37 | $27,161.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,129.90 / $14,112.21 / $32,118.28
| Facility | | $6,129.90 | $14,112.21 | $32,118.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,090.01 / $28,541.98
| Facility | | $3,308.00 | $14,090.01 | $28,541.98 |