- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,573.80 / $33,043.80 / $58,147.50
| Facility | | $19,573.80 | $33,043.80 | $58,147.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,496.23 / $26,063.75 / $42,065.58
| Facility | | $17,496.23 | $26,063.75 | $42,065.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,805.40 / $29,953.29 / $41,098.58
| Facility | | $17,805.40 | $29,953.29 | $41,098.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,320.45 / $56,320.45 / $66,096.83
| Facility | | $56,320.45 | $56,320.45 | $66,096.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $28,797.35 / $41,133.72
| Facility | | $1,787.00 | $28,797.35 | $41,133.72 |