- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,335.80 / $22,763.60 / $37,000.50
| Facility | | $13,335.80 | $22,763.60 | $37,000.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,791.12 / $18,791.12 / $18,791.12
| Facility | | $18,791.12 | $18,791.12 | $18,791.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,435.33 / $18,086.83 / $28,533.73
| Facility | | $11,435.33 | $18,086.83 | $28,533.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,423.32 / $24,249.02 / $48,756.19
| Facility | | $11,423.32 | $24,249.02 | $48,756.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,331.39 / $20,582.50 / $27,076.73
| Facility | | $13,331.39 | $20,582.50 | $27,076.73 |