- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,071.20 / $27,600.80 / $44,440.70
| Facility | | $12,071.20 | $27,600.80 | $44,440.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $35,600.44
| Facility | | $1,474.01 | $6,242.69 | $35,600.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,979.40 / $28,858.37 / $40,881.35
| Facility | | $19,979.40 | $28,858.37 | $40,881.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,397.06 / $23,614.52 / $49,989.81
| Facility | | $16,397.06 | $23,614.52 | $49,989.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,397.06 / $24,204.31 / $51,488.38
| Facility | | $16,397.06 | $24,204.31 | $51,488.38 |