- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,619.70 / $24,680.50 / $43,430.60
| Facility | | $14,619.70 | $24,680.50 | $43,430.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,696.42 / $11,114.41 / $18,132.62
| Facility | | $7,696.42 | $11,114.41 | $18,132.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,995.10 / $22,372.25 / $30,943.31
| Facility | | $12,995.10 | $22,372.25 | $30,943.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,769.10 / $44,769.10 / $52,540.34
| Facility | | $44,769.10 | $44,769.10 | $52,540.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $21,508.87 / $30,722.96
| Facility | | $1,787.00 | $21,508.87 | $30,722.96 |