- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,950.20 / $27,324.10 / $43,995.30
| Facility | | $11,950.20 | $27,324.10 | $43,995.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $38,566.87
| Facility | | $1,474.01 | $5,930.56 | $38,566.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,779.16 / $28,569.14 / $40,471.62
| Facility | | $19,779.16 | $28,569.14 | $40,471.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,232.73 / $23,377.85 / $50,322.59
| Facility | | $16,232.73 | $23,377.85 | $50,322.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,008.17 / $23,300.61 / $43,200.18
| Facility | | $15,008.17 | $23,300.61 | $43,200.18 |