- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,297.20 / $16,685.09 / $26,865.10
| Facility | | $7,297.20 | $16,685.09 | $26,865.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,604.95 / $22,647.60
| Facility | | $1,474.01 | $8,604.95 | $22,647.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,077.83 / $17,445.30 / $24,713.36
| Facility | | $12,077.83 | $17,445.30 | $24,713.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,422.00 / $15,011.00 / $30,728.70
| Facility | | $10,422.00 | $15,011.00 | $30,728.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,912.26 / $14,228.15 / $26,379.51
| Facility | | $9,912.26 | $14,228.15 | $26,379.51 |