- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,506.80 / $22,013.90 / $44,726.40
| Facility | | $11,506.80 | $22,013.90 | $44,726.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,649.37 / $33,649.37 / $35,751.83
| Facility | | $33,649.37 | $33,649.37 | $35,751.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $13,004.47 / $20,857.11
| Facility | | $7,500.00 | $13,004.47 | $20,857.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,500.00 / $13,220.61 / $35,751.83
| Facility | | $7,500.00 | $13,220.61 | $35,751.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,813.00 / $10,813.00 / $10,813.00
| Facility | | $10,813.00 | $10,813.00 | $10,813.00 |