- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,249.78 / $18,863.09 / $30,372.10
| Facility | | $8,249.78 | $18,863.09 | $30,372.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,217.01 / $17,727.82 / $23,734.57
| Facility | | $10,217.01 | $17,727.82 | $23,734.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,440.79 / $27,080.64
| Facility | | $1,474.01 | $9,440.79 | $27,080.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,654.49 / $19,722.63 / $27,939.48
| Facility | | $13,654.49 | $19,722.63 | $27,939.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,935.52 / $16,541.91 / $34,740.06
| Facility | | $11,935.52 | $16,541.91 | $34,740.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,206.22 / $16,541.91 / $35,188.62
| Facility | | $11,206.22 | $16,541.91 | $35,188.62 |