- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,197.70 / $18,744.09 / $30,180.40
| Facility | | $8,197.70 | $18,744.09 | $30,180.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,001.95 / $26,337.40
| Facility | | $1,474.01 | $12,001.95 | $26,337.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,568.30 / $19,598.14 / $27,763.12
| Facility | | $13,568.30 | $19,598.14 | $27,763.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,860.19 / $16,437.50 / $34,520.78
| Facility | | $11,860.19 | $16,437.50 | $34,520.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,135.48 / $16,437.50 / $34,966.51
| Facility | | $11,135.48 | $16,437.50 | $34,966.51 |