- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,426.90 / $25,087.40 / $44,131.60
| Facility | | $13,426.90 | $25,087.40 | $44,131.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,135.83 / $16,357.18 / $29,912.88
| Facility | | $10,135.83 | $16,357.18 | $29,912.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,588.46 / $21,572.71 / $34,033.04
| Facility | | $13,588.46 | $21,572.71 | $34,033.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,399.06 / $19,909.63 / $37,594.86
| Facility | | $10,399.06 | $19,909.63 | $37,594.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $22,531.50 / $30,992.54
| Facility | | $6,842.00 | $22,531.50 | $30,992.54 |