- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,714.27 / $14,276.60 / $22,041.80
| Facility | | $9,714.27 | $14,276.60 | $22,041.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,733.42 / $32,318.96 / $41,434.56
| Facility | | $22,733.42 | $32,318.96 | $41,434.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,933.07 / $21,138.06 / $26,735.82
| Facility | | $10,933.07 | $21,138.06 | $26,735.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,714.27 / $14,602.40 / $23,349.90
| Facility | | $9,714.27 | $14,602.40 | $23,349.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,360.73 / $18,551.77 / $29,175.39
| Facility | | $11,360.73 | $18,551.77 | $29,175.39 |