- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,452.60 / $26,186.40 / $42,163.40
| Facility | | $11,452.60 | $26,186.40 | $42,163.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $15,104.72 / $34,405.61
| Facility | | $1,474.01 | $15,104.72 | $34,405.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,955.57 / $27,379.55 / $38,786.42
| Facility | | $18,955.57 | $27,379.55 | $38,786.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,569.25 / $22,963.98 / $48,227.20
| Facility | | $16,569.25 | $22,963.98 | $48,227.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,556.81 / $22,963.98 / $48,849.90
| Facility | | $15,556.81 | $22,963.98 | $48,849.90 |