- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,074.90 / $27,609.20 / $44,454.30
| Facility | | $12,074.90 | $27,609.20 | $44,454.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,677.28 / $43,255.37
| Facility | | $1,474.01 | $14,677.28 | $43,255.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,985.49 / $28,867.17 / $40,893.82
| Facility | | $19,985.49 | $28,867.17 | $40,893.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,469.52 / $24,211.69 / $50,847.54
| Facility | | $17,469.52 | $24,211.69 | $50,847.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,402.06 / $24,211.69 / $51,504.08
| Facility | | $16,402.06 | $24,211.69 | $51,504.08 |