- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,889.60 / $34,726.80 / $55,914.50
| Facility | | $12,889.60 | $34,726.80 | $55,914.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $18,406.77 / $44,747.15
| Facility | | $1,474.01 | $18,406.77 | $44,747.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,137.70 / $36,309.06 / $51,436.14
| Facility | | $25,137.70 | $36,309.06 | $51,436.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,721.00 / $29,711.35 / $63,955.91
| Facility | | $20,721.00 | $29,711.35 | $63,955.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,721.00 / $29,613.17 / $54,903.91
| Facility | | $20,721.00 | $29,613.17 | $54,903.91 |