- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.71 / $17,749.40 / $28,578.90
| Facility | | $7,762.71 | $17,749.40 | $28,578.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,346.93 / $23,077.68
| Facility | | $1,474.01 | $9,346.93 | $23,077.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,848.31 / $18,558.18 / $26,289.90
| Facility | | $12,848.31 | $18,558.18 | $26,289.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,230.84 / $15,565.26 / $32,688.97
| Facility | | $11,230.84 | $15,565.26 | $32,688.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,544.59 / $15,565.26 / $33,111.05
| Facility | | $10,544.59 | $15,565.26 | $33,111.05 |