- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,656.80 / $16,999.50 / $27,595.50
| Facility | | $11,656.80 | $16,999.50 | $27,595.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,888.78 / $31,888.78 / $31,888.78
| Facility | | $31,888.78 | $31,888.78 | $31,888.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,494.34 / $29,135.77 / $37,353.55
| Facility | | $20,494.34 | $29,135.77 | $37,353.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,687.82 / $26,464.12 / $33,472.33
| Facility | | $13,687.82 | $26,464.12 | $33,472.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,161.90 / $18,281.70 / $29,233.30
| Facility | | $12,161.90 | $18,281.70 | $29,233.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,223.24 / $24,321.91 / $36,952.06
| Facility | | $14,223.24 | $24,321.91 | $36,952.06 |