- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $21,379.62 / $37,153.52
| Facility | | $16,982.44 | $21,379.62 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $20,417.38 / $20,417.38
| Facility | | $20,417.38 | $20,417.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $20,417.38 / $33,113.11
| Facility | | $12,589.25 | $20,417.38 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,840.32 / $37,153.52
| Facility | | $18,197.01 | $28,840.32 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $26,302.68 / $40,738.03
| Facility | | $15,848.93 | $26,302.68 | $40,738.03 |