- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,064.71 / $16,153.50 / $26,009.10
| Facility | | $7,064.71 | $16,153.50 | $26,009.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,883.40 / $19,206.12
| Facility | | $1,474.01 | $7,883.40 | $19,206.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,693.03 / $16,889.48 / $23,925.98
| Facility | | $11,693.03 | $16,889.48 | $23,925.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,220.99 / $14,165.68 / $29,749.67
| Facility | | $10,220.99 | $14,165.68 | $29,749.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,596.45 / $14,165.68 / $30,133.79
| Facility | | $9,596.45 | $14,165.68 | $30,133.79 |