- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $21,379.62 / $42,657.95
| Facility | | $9,332.54 | $21,379.62 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,840.32 / $35,481.34
| Facility | | $19,054.61 | $28,840.32 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $24,547.09 / $38,904.51
| Facility | | $15,848.93 | $24,547.09 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $18,620.87 / $50,118.72
| Facility | | $12,589.25 | $18,620.87 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $22,908.68 / $39,810.72
| Facility | | $12,589.25 | $22,908.68 | $39,810.72 |