- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,068.80 / $31,631.90 / $42,447.50
| Facility | | $19,068.80 | $31,631.90 | $42,447.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,453.92 / $21,453.92 / $21,453.92
| Facility | | $21,453.92 | $21,453.92 | $21,453.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,099.33 / $26,445.43 / $42,313.70
| Facility | | $15,099.33 | $26,445.43 | $42,313.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,658.03 / $25,468.50 / $58,409.46
| Facility | | $15,658.03 | $25,468.50 | $58,409.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,544.32 / $25,088.17 / $35,978.50
| Facility | | $18,544.32 | $25,088.17 | $35,978.50 |