- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,916.30 / $18,100.59 / $29,144.30
| Facility | | $7,916.30 | $18,100.59 | $29,144.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,667.47 / $26,336.67
| Facility | | $1,474.01 | $12,667.47 | $26,336.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,102.53 / $18,925.38 / $26,810.07
| Facility | | $13,102.53 | $18,925.38 | $26,810.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,453.05 / $15,873.24 / $33,335.75
| Facility | | $11,453.05 | $15,873.24 | $33,335.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,753.23 / $15,873.24 / $33,766.18
| Facility | | $10,753.23 | $15,873.24 | $33,766.18 |