- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,326.65 / $16,752.40 / $26,973.50
| Facility | | $7,326.65 | $16,752.40 | $26,973.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,681.57 / $21,777.86
| Facility | | $1,474.01 | $8,681.57 | $21,777.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,126.59 / $17,515.72 / $24,813.12
| Facility | | $12,126.59 | $17,515.72 | $24,813.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,952.27 / $14,332.94 / $30,341.54
| Facility | | $9,952.27 | $14,332.94 | $30,341.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,952.27 / $14,690.92 / $31,251.10
| Facility | | $9,952.27 | $14,690.92 | $31,251.10 |