- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,240.10 / $22,255.10 / $29,250.80
| Facility | | $15,240.10 | $22,255.10 | $29,250.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,937.06 / $12,937.06 / $18,550.39
| Facility | | $12,937.06 | $12,937.06 | $18,550.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,958.84 / $21,674.92 / $36,660.21
| Facility | | $7,958.84 | $21,674.92 | $36,660.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,481.85 / $22,353.97 / $37,415.49
| Facility | | $15,481.85 | $22,353.97 | $37,415.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,169.96 / $24,947.32 / $36,425.12
| Facility | | $19,169.96 | $24,947.32 | $36,425.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,169.96 / $23,191.86 / $36,425.12
| Facility | | $19,169.96 | $23,191.86 | $36,425.12 |