- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,519.02 / $21,765.30 / $35,044.80
| Facility | | $9,519.02 | $21,765.30 | $35,044.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,935.61 / $31,813.26
| Facility | | $1,474.01 | $10,935.61 | $31,813.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,755.25 / $22,756.98 / $32,238.00
| Facility | | $15,755.25 | $22,756.98 | $32,238.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,771.82 / $19,086.91 / $40,084.86
| Facility | | $13,771.82 | $19,086.91 | $40,084.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,930.31 / $19,086.91 / $40,602.43
| Facility | | $12,930.31 | $19,086.91 | $40,602.43 |