- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,154.90 / $25,505.70 / $41,067.40
| Facility | | $11,154.90 | $25,505.70 | $41,067.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,985.29 / $35,603.62
| Facility | | $1,474.01 | $10,985.29 | $35,603.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,462.81 / $26,667.80 / $37,778.15
| Facility | | $18,462.81 | $26,667.80 | $37,778.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,138.53 / $22,367.02 / $46,973.51
| Facility | | $16,138.53 | $22,367.02 | $46,973.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,833.78 / $21,207.00 / $40,325.11
| Facility | | $14,833.78 | $21,207.00 | $40,325.11 |