- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,526.08 / $14,921.90 / $24,026.20
| Facility | | $6,526.08 | $14,921.90 | $24,026.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,499.28 / $11,499.28 / $19,952.78
| Facility | | $11,499.28 | $11,499.28 | $19,952.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,549.02 / $19,672.07
| Facility | | $1,474.01 | $7,549.02 | $19,672.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,801.53 / $15,601.80 / $22,101.83
| Facility | | $10,801.53 | $15,601.80 | $22,101.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,864.79 / $15,521.00 / $27,481.51
| Facility | | $8,864.79 | $15,521.00 | $27,481.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,864.79 / $15,965.33 / $23,591.91
| Facility | | $8,864.79 | $15,965.33 | $23,591.91 |