- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,927.39 / $13,120.10 / $20,256.30
| Facility | | $8,927.39 | $13,120.10 | $20,256.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,235.97 / $27,346.81 / $35,060.01
| Facility | | $19,235.97 | $27,346.81 | $35,060.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,047.45 / $19,425.82 / $24,570.15
| Facility | | $10,047.45 | $19,425.82 | $24,570.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,927.39 / $13,419.60 / $21,458.50
| Facility | | $8,927.39 | $13,419.60 | $21,458.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,440.48 / $17,853.34 / $27,124.42
| Facility | | $10,440.48 | $17,853.34 | $27,124.42 |