- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,870.80 / $24,856.20 / $40,021.60
| Facility | | $10,870.80 | $24,856.20 | $40,021.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,973.19 / $33,527.11
| Facility | | $1,474.01 | $12,973.19 | $33,527.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,992.68 / $25,988.75 / $36,816.19
| Facility | | $17,992.68 | $25,988.75 | $36,816.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,727.59 / $21,797.48 / $45,777.41
| Facility | | $15,727.59 | $21,797.48 | $45,777.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,766.57 / $21,797.48 / $46,368.48
| Facility | | $14,766.57 | $21,797.48 | $46,368.48 |