- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,441.70 / $21,588.50 / $34,760.19
| Facility | | $9,441.70 | $21,588.50 | $34,760.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,049.48 / $29,049.03
| Facility | | $1,474.01 | $9,049.48 | $29,049.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,627.27 / $22,572.13 / $31,976.13
| Facility | | $15,627.27 | $22,572.13 | $31,976.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,659.95 / $18,931.87 / $39,759.25
| Facility | | $13,659.95 | $18,931.87 | $39,759.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,063.11 / $18,409.52 / $34,131.93
| Facility | | $12,063.11 | $18,409.52 | $34,131.93 |