- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,521.60 / $24,057.60 / $38,735.80
| Facility | | $10,521.60 | $24,057.60 | $38,735.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $15,306.34 / $33,291.25
| Facility | | $1,474.01 | $15,306.34 | $33,291.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,414.61 / $25,153.77 / $35,633.33
| Facility | | $17,414.61 | $25,153.77 | $35,633.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,292.14 / $21,097.16 / $44,306.65
| Facility | | $14,292.14 | $21,097.16 | $44,306.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,292.14 / $21,097.16 / $38,035.69
| Facility | | $14,292.14 | $21,097.16 | $38,035.69 |