- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,431.80 / $21,046.40 / $34,164.90
| Facility | | $14,431.80 | $21,046.40 | $34,164.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,497.93 / $54,730.55 / $70,167.37
| Facility | | $38,497.93 | $54,730.55 | $70,167.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,946.32 / $32,764.13 / $41,440.69
| Facility | | $16,946.32 | $32,764.13 | $41,440.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,057.20 / $22,633.90 / $36,192.50
| Facility | | $15,057.20 | $22,633.90 | $36,192.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,327.18 / $30,111.95 / $45,748.81
| Facility | | $16,327.18 | $30,111.95 | $45,748.81 |