- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,366.80 / $28,276.70 / $45,529.10
| Facility | | $12,366.80 | $28,276.70 | $45,529.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,415.58 / $40,418.76
| Facility | | $1,474.01 | $10,415.58 | $40,418.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,468.68 / $29,565.08 / $41,882.50
| Facility | | $20,468.68 | $29,565.08 | $41,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,891.87 / $24,797.05 / $52,076.87
| Facility | | $17,891.87 | $24,797.05 | $52,076.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,798.61 / $24,797.05 / $52,749.28
| Facility | | $16,798.61 | $24,797.05 | $52,749.28 |