- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,414.20 / $26,098.60 / $42,022.10
| Facility | | $11,414.20 | $26,098.60 | $42,022.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,717.23 / $39,568.99
| Facility | | $1,474.01 | $10,717.23 | $39,568.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,892.02 / $27,287.75 / $38,656.37
| Facility | | $18,892.02 | $27,287.75 | $38,656.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,513.70 / $22,886.99 / $48,065.50
| Facility | | $16,513.70 | $22,886.99 | $48,065.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,504.65 / $22,886.99 / $48,686.12
| Facility | | $15,504.65 | $22,886.99 | $48,686.12 |