- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $25,703.96 / $37,153.52
| Facility | | $13,182.57 | $25,703.96 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $14,454.40 / $30,902.95
| Facility | | $10,471.29 | $14,454.40 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,703.96 / $34,673.69
| Facility | | $17,378.01 | $25,703.96 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $8,511.38 / $8,511.38
| Facility | | $8,511.38 | $8,511.38 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $15,135.61 / $29,512.09
| Facility | | $5,495.41 | $15,135.61 | $29,512.09 |