- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,156.90 / $27,796.80 / $44,756.40
| Facility | | $12,156.90 | $27,796.80 | $44,756.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,249.79 / $39,320.29
| Facility | | $1,474.01 | $12,249.79 | $39,320.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,121.31 / $29,063.34 / $41,171.72
| Facility | | $20,121.31 | $29,063.34 | $41,171.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,588.23 / $24,376.23 / $51,193.08
| Facility | | $17,588.23 | $24,376.23 | $51,193.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,513.52 / $24,376.23 / $51,854.08
| Facility | | $16,513.52 | $24,376.23 | $51,854.08 |