- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,208.45 / $13,533.20 / $20,894.09
| Facility | | $9,208.45 | $13,533.20 | $20,894.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,119.67 / $31,446.41 / $40,315.91
| Facility | | $22,119.67 | $31,446.41 | $40,315.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,363.79 / $20,037.43 / $25,343.73
| Facility | | $10,363.79 | $20,037.43 | $25,343.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,208.45 / $13,842.10 / $22,134.10
| Facility | | $9,208.45 | $13,842.10 | $22,134.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,769.19 / $18,415.45 / $27,978.42
| Facility | | $10,769.19 | $18,415.45 | $27,978.42 |