- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,518.50 / $21,764.10 / $35,042.90
| Facility | | $9,518.50 | $21,764.10 | $35,042.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,503.91 / $30,323.39
| Facility | | $1,474.01 | $11,503.91 | $30,323.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,754.38 / $22,755.72 / $32,236.21
| Facility | | $15,754.38 | $22,755.72 | $32,236.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,771.06 / $21,440.00 / $40,082.64
| Facility | | $13,771.06 | $21,440.00 | $40,082.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,771.06 / $23,285.93 / $34,409.54
| Facility | | $13,771.06 | $23,285.93 | $34,409.54 |