- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,768.95 / $20,050.20 / $32,283.40
| Facility | | $8,768.95 | $20,050.20 | $32,283.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,497.57 / $28,828.63
| Facility | | $1,474.01 | $10,497.57 | $28,828.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,513.77 / $20,963.78 / $29,697.72
| Facility | | $14,513.77 | $20,963.78 | $29,697.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,686.63 / $17,582.90 / $36,926.26
| Facility | | $12,686.63 | $17,582.90 | $36,926.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,203.57 / $17,097.78 / $31,699.91
| Facility | | $11,203.57 | $17,097.78 | $31,699.91 |