- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,107.30 / $20,600.80 / $27,076.60
| Facility | | $14,107.30 | $20,600.80 | $27,076.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,759.93 / $15,686.47 / $26,531.55
| Facility | | $5,759.93 | $15,686.47 | $26,531.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,331.08 / $20,692.39 / $37,079.48
| Facility | | $14,331.08 | $20,692.39 | $37,079.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,745.05 / $23,092.98 / $33,717.64
| Facility | | $17,745.05 | $23,092.98 | $33,717.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,745.05 / $21,468.01 / $33,717.64
| Facility | | $17,745.05 | $21,468.01 | $33,717.64 |