- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,767.97 / $17,761.50 / $28,598.20
| Facility | | $7,767.97 | $17,761.50 | $28,598.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,373.15 / $13,373.15 / $13,373.15
| Facility | | $13,373.15 | $13,373.15 | $13,373.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,671.31 / $24,664.27
| Facility | | $1,474.01 | $9,671.31 | $24,664.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,857.02 / $18,570.75 / $26,307.72
| Facility | | $12,857.02 | $18,570.75 | $26,307.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,238.45 / $15,575.81 / $32,711.12
| Facility | | $11,238.45 | $15,575.81 | $32,711.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,551.74 / $15,575.81 / $33,133.48
| Facility | | $10,551.74 | $15,575.81 | $33,133.48 |