- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,665.70 / $24,387.10 / $39,266.40
| Facility | | $10,665.70 | $24,387.10 | $39,266.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,279.74 / $30,469.72
| Facility | | $1,474.01 | $12,279.74 | $30,469.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,653.16 / $25,498.33 / $36,121.44
| Facility | | $17,653.16 | $25,498.33 | $36,121.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,430.80 / $21,386.15 / $44,913.56
| Facility | | $15,430.80 | $21,386.15 | $44,913.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,487.92 / $21,386.15 / $45,493.48
| Facility | | $14,487.92 | $21,386.15 | $45,493.48 |