- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,112.50 / $32,491.20 / $44,959.40
| Facility | | $20,112.50 | $32,491.20 | $44,959.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,174.21 / $30,174.21 / $30,174.21
| Facility | | $30,174.21 | $30,174.21 | $30,174.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,664.59 / $28,305.02 / $42,882.72
| Facility | | $17,664.59 | $28,305.02 | $42,882.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $27,183.09 / $46,535.98
| Facility | | $7,516.00 | $27,183.09 | $46,535.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $26,845.74 / $44,039.13
| Facility | | $7,516.00 | $26,845.74 | $44,039.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $34,981.16 / $50,552.06
| Facility | | $10,403.00 | $34,981.16 | $50,552.06 |