- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,107.40 / $29,970.10 / $48,255.60
| Facility | | $13,107.40 | $29,970.10 | $48,255.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,915.82 / $40,725.31
| Facility | | $1,474.01 | $13,915.82 | $40,725.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,694.48 / $31,335.64 / $44,390.71
| Facility | | $21,694.48 | $31,335.64 | $44,390.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,963.36 / $26,282.07 / $55,195.59
| Facility | | $18,963.36 | $26,282.07 | $55,195.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,804.63 / $26,282.07 / $55,908.27
| Facility | | $17,804.63 | $26,282.07 | $55,908.27 |