- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,061.30 / $34,040.50 / $54,968.80
| Facility | | $21,061.30 | $34,040.50 | $54,968.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,765.84 / $30,077.03 / $35,685.76
| Facility | | $27,765.84 | $30,077.03 | $35,685.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,925.34 / $30,358.85 / $45,616.15
| Facility | | $16,925.34 | $30,358.85 | $45,616.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,366.02 / $26,584.68 / $49,010.63
| Facility | | $15,366.02 | $26,584.68 | $49,010.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,409.00 / $30,581.14 / $40,000.00
| Facility | | $21,409.00 | $30,581.14 | $40,000.00 |