- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,845.21 / $20,224.59 / $32,564.20
| Facility | | $8,845.21 | $20,224.59 | $32,564.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,851.96 / $30,102.79
| Facility | | $1,474.01 | $10,851.96 | $30,102.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,640.01 / $21,146.12 / $29,956.02
| Facility | | $14,640.01 | $21,146.12 | $29,956.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,796.98 / $17,735.84 / $37,247.44
| Facility | | $12,796.98 | $17,735.84 | $37,247.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,015.03 / $17,735.84 / $37,728.37
| Facility | | $12,015.03 | $17,735.84 | $37,728.37 |