- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,592.66 / $21,933.60 / $35,315.90
| Facility | | $9,592.66 | $21,933.60 | $35,315.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,111.17 / $31,256.68
| Facility | | $1,474.01 | $12,111.17 | $31,256.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,877.13 / $22,933.03 / $32,487.39
| Facility | | $15,877.13 | $22,933.03 | $32,487.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,878.36 / $19,234.56 / $40,394.96
| Facility | | $13,878.36 | $19,234.56 | $40,394.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,030.34 / $19,234.56 / $40,916.53
| Facility | | $13,030.34 | $19,234.56 | $40,916.53 |