- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $20,417.38 / $33,113.11
| Facility | | $8,912.51 | $20,417.38 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $14,125.38 / $23,442.29
| Facility | | $5,248.07 | $14,125.38 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $19,498.45 / $32,359.37
| Facility | | $13,803.84 | $19,498.45 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,772.37 / $25,703.96
| Facility | | $6,606.93 | $9,772.37 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $9,772.37 / $25,703.96
| Facility | | $6,309.57 | $9,772.37 | $25,703.96 |