- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,160.90 / $19,218.80 / $25,260.10
| Facility | | $13,160.90 | $19,218.80 | $25,260.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,885.67 / $21,650.49 / $36,323.17
| Facility | | $7,885.67 | $21,650.49 | $36,323.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,852.44 / $19,393.18 / $34,591.96
| Facility | | $13,852.44 | $19,393.18 | $34,591.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,554.61 / $21,543.76 / $31,455.65
| Facility | | $16,554.61 | $21,543.76 | $31,455.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,554.61 / $20,027.80 / $31,455.65
| Facility | | $16,554.61 | $20,027.80 | $31,455.65 |