- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,881.06 / $18,020.09 / $29,014.60
| Facility | | $7,881.06 | $18,020.09 | $29,014.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $27,827.27
| Facility | | $1,474.01 | $6,242.69 | $27,827.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,044.20 / $18,841.12 / $26,690.72
| Facility | | $13,044.20 | $18,841.12 | $26,690.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,402.06 / $15,802.57 / $33,187.35
| Facility | | $11,402.06 | $15,802.57 | $33,187.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,191.67 / $19,280.12 / $28,490.17
| Facility | | $12,191.67 | $19,280.12 | $28,490.17 |