- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,492.60 / $23,991.50 / $38,629.30
| Facility | | $10,492.60 | $23,991.50 | $38,629.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $31,572.30
| Facility | | $1,474.01 | $6,242.69 | $31,572.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,366.73 / $25,084.61 / $35,535.37
| Facility | | $17,366.73 | $25,084.61 | $35,535.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,180.43 / $21,039.16 / $44,184.82
| Facility | | $15,180.43 | $21,039.16 | $44,184.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,252.85 / $21,039.16 / $44,755.33
| Facility | | $14,252.85 | $21,039.16 | $44,755.33 |