- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,531.79 / $17,221.50 / $27,728.70
| Facility | | $7,531.79 | $17,221.50 | $27,728.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,616.86 / $25,310.78
| Facility | | $1,474.01 | $8,616.86 | $25,310.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,466.12 / $18,006.14 / $25,507.87
| Facility | | $12,466.12 | $18,006.14 | $25,507.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,896.76 / $15,102.25 / $31,716.59
| Facility | | $10,896.76 | $15,102.25 | $31,716.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,230.93 / $15,102.25 / $32,126.11
| Facility | | $10,230.93 | $15,102.25 | $32,126.11 |