- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,999.20 / $25,149.70 / $40,494.19
| Facility | | $10,999.20 | $25,149.70 | $40,494.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,724.74 / $34,806.07
| Facility | | $1,474.01 | $13,724.74 | $34,806.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,205.12 / $24,907.09 / $37,250.86
| Facility | | $18,205.12 | $24,907.09 | $37,250.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,940.91 / $22,054.83 / $46,317.87
| Facility | | $14,940.91 | $22,054.83 | $46,317.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,940.91 / $22,054.83 / $39,762.26
| Facility | | $14,940.91 | $22,054.83 | $39,762.26 |