- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,537.04 / $11,076.80 / $17,101.59
| Facility | | $7,537.04 | $11,076.80 | $17,101.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,027.11 / $31,314.83 / $40,147.22
| Facility | | $22,027.11 | $31,314.83 | $40,147.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,482.67 / $16,400.45 / $20,743.61
| Facility | | $8,482.67 | $16,400.45 | $20,743.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,537.04 / $11,329.60 / $18,116.59
| Facility | | $7,537.04 | $11,329.60 | $18,116.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,814.48 / $15,072.88 / $22,900.08
| Facility | | $8,814.48 | $15,072.88 | $22,900.08 |