- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,907.88 / $18,081.40 / $29,113.30
| Facility | | $7,907.88 | $18,081.40 | $29,113.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,535.94 / $24,616.75
| Facility | | $1,474.01 | $9,535.94 | $24,616.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,088.60 / $18,905.25 / $26,781.57
| Facility | | $13,088.60 | $18,905.25 | $26,781.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,440.87 / $15,856.36 / $33,300.31
| Facility | | $11,440.87 | $15,856.36 | $33,300.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,741.79 / $15,856.36 / $33,730.28
| Facility | | $10,741.79 | $15,856.36 | $33,730.28 |