- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,687.34 / $22,150.10 / $35,664.50
| Facility | | $9,687.34 | $22,150.10 | $35,664.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,755.79 / $16,755.79 / $16,755.79
| Facility | | $16,755.79 | $16,755.79 | $16,755.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,660.99 / $31,434.85
| Facility | | $1,474.01 | $11,660.99 | $31,434.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,033.84 / $23,159.38 / $32,808.04
| Facility | | $16,033.84 | $23,159.38 | $32,808.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,015.34 / $19,424.41 / $40,793.66
| Facility | | $14,015.34 | $19,424.41 | $40,793.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,158.95 / $19,424.41 / $41,320.37
| Facility | | $13,158.95 | $19,424.41 | $41,320.37 |