- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,921.20 / $23,739.10 / $41,534.40
| Facility | | $17,921.20 | $23,739.10 | $41,534.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,415.91 / $15,415.91 / $28,739.96
| Facility | | $15,415.91 | $15,415.91 | $28,739.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,544.52 / $40,121.67
| Facility | | $5,939.30 | $20,544.52 | $40,121.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,514.67 / $22,775.66 / $37,082.93
| Facility | | $13,514.67 | $22,775.66 | $37,082.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $26,260.70 / $37,366.10
| Facility | | $3,496.00 | $26,260.70 | $37,366.10 |