- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,272.29 / $17,534.40 / $28,500.70
| Facility | | $10,272.29 | $17,534.40 | $28,500.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,368.10 / $18,640.08 / $22,331.97
| Facility | | $14,368.10 | $18,640.08 | $22,331.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,808.41 / $13,931.93 / $21,978.96
| Facility | | $8,808.41 | $13,931.93 | $21,978.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,718.63 / $8,756.25 / $22,166.57
| Facility | | $3,718.63 | $8,756.25 | $22,166.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,289.00 / $14,754.72 / $20,015.37
| Facility | | $6,289.00 | $14,754.72 | $20,015.37 |