- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,528.90 / $26,360.80 / $42,444.20
| Facility | | $11,528.90 | $26,360.80 | $42,444.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $18,996.47 / $38,220.71
| Facility | | $1,474.01 | $18,996.47 | $38,220.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,081.81 / $27,561.89 / $39,044.73
| Facility | | $19,081.81 | $27,561.89 | $39,044.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,679.59 / $23,116.91 / $48,548.37
| Facility | | $16,679.59 | $23,116.91 | $48,548.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,660.41 / $23,116.91 / $49,175.22
| Facility | | $15,660.41 | $23,116.91 | $49,175.22 |