- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,580.20 / $33,337.60 / $53,677.80
| Facility | | $14,580.20 | $33,337.60 | $53,677.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $15,371.23 / $40,046.39
| Facility | | $1,474.01 | $15,371.23 | $40,046.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,473.32 / $33,016.10 / $49,378.63
| Facility | | $22,473.32 | $33,016.10 | $49,378.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,094.16 / $29,235.23 / $61,397.59
| Facility | | $21,094.16 | $29,235.23 | $61,397.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,805.23 / $29,235.23 / $62,190.35
| Facility | | $19,805.23 | $29,235.23 | $62,190.35 |