- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,132.56 / $16,308.60 / $26,258.90
| Facility | | $7,132.56 | $16,308.60 | $26,258.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,774.25 / $20,539.13
| Facility | | $1,474.01 | $9,774.25 | $20,539.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,805.34 / $17,051.70 / $24,155.78
| Facility | | $11,805.34 | $17,051.70 | $24,155.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,319.16 / $14,301.73 / $30,035.40
| Facility | | $10,319.16 | $14,301.73 | $30,035.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,688.62 / $14,301.73 / $30,423.22
| Facility | | $9,688.62 | $14,301.73 | $30,423.22 |