- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $18,197.01 / $34,673.69
| Facility | | $11,748.98 | $18,197.01 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $19,498.45 / $22,908.68
| Facility | | $9,120.11 | $19,498.45 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $15,488.17 / $41,686.94
| Facility | | $11,748.98 | $15,488.17 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $13,489.63 / $26,302.68
| Facility | | $6,918.31 | $13,489.63 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $16,218.10 / $23,442.29
| Facility | | $6,309.57 | $16,218.10 | $23,442.29 |