- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,137.15 / $20,892.09 / $33,638.90
| Facility | | $9,137.15 | $20,892.09 | $33,638.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,290.04 / $28,182.36
| Facility | | $1,474.01 | $10,290.04 | $28,182.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,123.19 / $21,844.03 / $30,944.70
| Facility | | $15,123.19 | $21,844.03 | $30,944.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,219.33 / $18,321.18 / $38,476.76
| Facility | | $13,219.33 | $18,321.18 | $38,476.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,411.58 / $18,321.18 / $38,973.58
| Facility | | $12,411.58 | $18,321.18 | $38,973.58 |