- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,579.70 / $20,657.59 / $36,220.60
| Facility | | $14,579.70 | $20,657.59 | $36,220.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,200.18 / $24,200.18 / $24,200.18
| Facility | | $24,200.18 | $24,200.18 | $24,200.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,367.45 / $18,362.34 / $25,860.25
| Facility | | $9,367.45 | $18,362.34 | $25,860.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,472.61 / $18,049.33 / $31,624.83
| Facility | | $13,472.61 | $18,049.33 | $31,624.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,083.04 / $20,441.05 / $27,391.61
| Facility | | $13,083.04 | $20,441.05 | $27,391.61 |