- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,203.80 / $25,617.50 / $41,247.50
| Facility | | $11,203.80 | $25,617.50 | $41,247.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,203.02 / $36,883.56
| Facility | | $1,474.01 | $14,203.02 | $36,883.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,543.78 / $26,784.75 / $37,943.82
| Facility | | $18,543.78 | $26,784.75 | $37,943.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,209.30 / $21,917.70 / $47,179.50
| Facility | | $16,209.30 | $21,917.70 | $47,179.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,218.85 / $22,465.11 / $47,788.68
| Facility | | $15,218.85 | $22,465.11 | $47,788.68 |