- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,931.70 / $29,568.40 / $47,608.90
| Facility | | $12,931.70 | $29,568.40 | $47,608.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $16,197.17 / $42,184.64
| Facility | | $1,474.01 | $16,197.17 | $42,184.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,403.70 / $30,915.64 / $43,795.72
| Facility | | $21,403.70 | $30,915.64 | $43,795.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,709.18 / $25,929.80 / $54,455.78
| Facility | | $18,709.18 | $25,929.80 | $54,455.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,565.98 / $25,929.80 / $55,158.91
| Facility | | $17,565.98 | $25,929.80 | $55,158.91 |