- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,827.40 / $14,331.60 / $23,264.70
| Facility | | $9,827.40 | $14,331.60 | $23,264.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,400.96 / $34,689.61 / $44,473.86
| Facility | | $24,400.96 | $34,689.61 | $44,473.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,539.68 / $22,310.88 / $28,219.23
| Facility | | $11,539.68 | $22,310.88 | $28,219.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,253.29 / $15,412.60 / $24,645.50
| Facility | | $10,253.29 | $15,412.60 | $24,645.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,991.07 / $20,504.87 / $31,152.86
| Facility | | $11,991.07 | $20,504.87 | $31,152.86 |