- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,370.31 / $16,852.20 / $27,134.20
| Facility | | $7,370.31 | $16,852.20 | $27,134.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,226.84 / $24,640.15
| Facility | | $1,474.01 | $10,226.84 | $24,640.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,198.85 / $17,620.09 / $24,960.98
| Facility | | $12,198.85 | $17,620.09 | $24,960.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,663.13 / $14,778.46 / $31,036.58
| Facility | | $10,663.13 | $14,778.46 | $31,036.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,763.95 / $14,012.00 / $26,643.82
| Facility | | $9,763.95 | $14,012.00 | $26,643.82 |