- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,090.30 / $32,586.50 / $52,966.70
| Facility | | $19,090.30 | $32,586.50 | $52,966.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,486.58 / $27,486.58 / $27,486.58
| Facility | | $27,486.58 | $27,486.58 | $27,486.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,369.85 / $25,891.56 / $40,846.44
| Facility | | $16,369.85 | $25,891.56 | $40,846.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,162.72 / $17,007.75 / $41,195.10
| Facility | | $7,162.72 | $17,007.75 | $41,195.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $27,042.30 / $37,197.23
| Facility | | $6,842.00 | $27,042.30 | $37,197.23 |