- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $25,118.86 / $43,651.58
| Facility | | $13,489.63 | $25,118.86 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $18,620.87 / $24,547.09
| Facility | | $10,232.93 | $18,620.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $20,417.38 / $34,673.69
| Facility | | $11,481.54 | $20,417.38 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $15,848.93 / $30,199.52
| Facility | | $8,317.64 | $15,848.93 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $18,620.87 / $26,302.68
| Facility | | $6,456.54 | $18,620.87 | $26,302.68 |