- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,339.50 / $19,479.70 / $28,197.50
| Facility | | $13,339.50 | $19,479.70 | $28,197.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,713.03 / $15,685.40 / $26,315.50
| Facility | | $5,713.03 | $15,685.40 | $26,315.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,040.46 / $19,656.40 / $35,061.47
| Facility | | $14,040.46 | $19,656.40 | $35,061.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,779.30 / $21,836.17 / $31,882.59
| Facility | | $16,779.30 | $21,836.17 | $31,882.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,779.30 / $20,299.63 / $31,882.59
| Facility | | $16,779.30 | $20,299.63 | $31,882.59 |