- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,077.33 / $16,182.30 / $26,055.60
| Facility | | $7,077.33 | $16,182.30 | $26,055.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,026.37 / $21,384.18
| Facility | | $1,474.01 | $9,026.37 | $21,384.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,713.92 / $16,919.66 / $23,968.74
| Facility | | $11,713.92 | $16,919.66 | $23,968.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,239.26 / $14,190.99 / $29,802.83
| Facility | | $10,239.26 | $14,190.99 | $29,802.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,613.60 / $14,190.99 / $30,187.64
| Facility | | $9,613.60 | $14,190.99 | $30,187.64 |