- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.54 / $16,121.20 / $28,368.70
| Facility | | $9,549.54 | $16,121.20 | $28,368.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,639.45 / $18,657.06 / $30,938.03
| Facility | | $12,639.45 | $18,657.06 | $30,938.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,686.81 / $14,859.82 / $20,518.74
| Facility | | $8,686.81 | $14,859.82 | $20,518.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,756.85 / $29,756.85 / $34,922.19
| Facility | | $29,756.85 | $29,756.85 | $34,922.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $14,049.50 / $20,068.09
| Facility | | $1,787.00 | $14,049.50 | $20,068.09 |