- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $26,302.68 / $35,481.34
| Facility | | $13,803.84 | $26,302.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $18,197.01 / $30,199.52
| Facility | | $12,589.25 | $18,197.01 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $28,183.83 / $38,018.94
| Facility | | $13,489.63 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $19,498.45 / $41,686.94
| Facility | | $7,079.46 | $19,498.45 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $20,417.38 / $39,810.72
| Facility | | $6,456.54 | $20,417.38 | $39,810.72 |