- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,570.50 / $28,573.10 / $49,992.10
| Facility | | $21,570.50 | $28,573.10 | $49,992.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,689.07 / $31,304.43 / $41,449.07
| Facility | | $17,689.07 | $31,304.43 | $41,449.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $25,918.33 / $49,671.60
| Facility | | $5,939.30 | $25,918.33 | $49,671.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,266.67 / $27,413.48 / $44,634.15
| Facility | | $16,266.67 | $27,413.48 | $44,634.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $29,445.92 / $50,579.96
| Facility | | $3,496.00 | $29,445.92 | $50,579.96 |