- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,800.05 / $17,834.80 / $28,716.40
| Facility | | $7,800.05 | $17,834.80 | $28,716.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,073.62 / $27,506.55
| Facility | | $1,474.01 | $9,073.62 | $27,506.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,910.13 / $18,647.47 / $26,416.38
| Facility | | $12,910.13 | $18,647.47 | $26,416.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,284.87 / $15,640.15 / $32,846.24
| Facility | | $11,284.87 | $15,640.15 | $32,846.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,380.65 / $14,829.00 / $28,197.34
| Facility | | $10,380.65 | $14,829.00 | $28,197.34 |