- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,460.50 / $26,204.40 / $42,192.50
| Facility | | $11,460.50 | $26,204.40 | $42,192.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,975.65 / $38,397.18
| Facility | | $1,474.01 | $14,975.65 | $38,397.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,968.63 / $27,398.41 / $38,813.14
| Facility | | $18,968.63 | $27,398.41 | $38,813.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,580.66 / $22,979.80 / $48,260.42
| Facility | | $16,580.66 | $22,979.80 | $48,260.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,642.39 / $22,345.77 / $41,429.87
| Facility | | $14,642.39 | $22,345.77 | $41,429.87 |