- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,679.80 / $21,436.90 / $28,175.40
| Facility | | $14,679.80 | $21,436.90 | $28,175.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,100.43 / $11,167.03 / $18,887.53
| Facility | | $4,100.43 | $11,167.03 | $18,887.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,912.66 / $21,532.13 / $36,039.92
| Facility | | $14,912.66 | $21,532.13 | $36,039.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,465.18 / $24,030.14 / $35,085.97
| Facility | | $18,465.18 | $24,030.14 | $35,085.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,276.51 / $23,123.82 / $33,331.54
| Facility | | $15,276.51 | $23,123.82 | $33,331.54 |