- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,292.10 / $28,105.90 / $45,254.10
| Facility | | $12,292.10 | $28,105.90 | $45,254.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,181.30 / $36,764.78
| Facility | | $1,474.01 | $14,181.30 | $36,764.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,345.05 / $29,386.52 / $41,629.54
| Facility | | $20,345.05 | $29,386.52 | $41,629.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,783.81 / $24,647.28 / $51,762.34
| Facility | | $17,783.81 | $24,647.28 | $51,762.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,697.15 / $24,647.28 / $52,430.69
| Facility | | $16,697.15 | $24,647.28 | $52,430.69 |