- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,979.70 / $25,105.20 / $40,422.50
| Facility | | $10,979.70 | $25,105.20 | $40,422.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $33,286.26
| Facility | | $1,474.01 | $6,242.69 | $33,286.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,172.90 / $26,249.06 / $37,184.94
| Facility | | $18,172.90 | $26,249.06 | $37,184.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,885.11 / $22,015.81 / $46,235.91
| Facility | | $15,885.11 | $22,015.81 | $46,235.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,914.47 / $22,015.81 / $46,832.91
| Facility | | $14,914.47 | $22,015.81 | $46,832.91 |