- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,896.90 / $23,460.20 / $41,283.19
| Facility | | $13,896.90 | $23,460.20 | $41,283.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,358.65 / $30,051.36 / $49,271.35
| Facility | | $20,358.65 | $30,051.36 | $49,271.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,641.37 / $21,266.05 / $29,654.90
| Facility | | $12,641.37 | $21,266.05 | $29,654.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,103.30 / $42,280.75 / $49,620.05
| Facility | | $20,103.30 | $42,280.75 | $49,620.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $22,307.80 / $57,561.00
| Facility | | $2,520.00 | $22,307.80 | $57,561.00 |