- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,594.91 / $17,365.80 / $27,961.10
| Facility | | $7,594.91 | $17,365.80 | $27,961.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $22,490.10
| Facility | | $1,474.01 | $6,242.69 | $22,490.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,570.59 / $18,157.04 / $25,721.63
| Facility | | $12,570.59 | $18,157.04 | $25,721.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,988.08 / $15,228.81 / $31,982.39
| Facility | | $10,988.08 | $15,228.81 | $31,982.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,749.01 / $18,506.47 / $27,455.76
| Facility | | $11,749.01 | $18,506.47 | $27,455.76 |