- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,543.20 / $15,375.50 / $24,959.30
| Facility | | $10,543.20 | $15,375.50 | $24,959.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,936.19 / $38,936.19 / $38,936.19
| Facility | | $38,936.19 | $38,936.19 | $38,936.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,107.07 / $34,271.80 / $43,938.21
| Facility | | $24,107.07 | $34,271.80 | $43,938.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,380.19 / $23,935.95 / $30,274.64
| Facility | | $12,380.19 | $23,935.95 | $30,274.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,000.10 / $16,535.30 / $26,440.60
| Facility | | $11,000.10 | $16,535.30 | $26,440.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,477.57 / $21,998.39 / $33,421.94
| Facility | | $14,477.57 | $21,998.39 | $33,421.94 |