- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.80 / $22,599.50 / $36,686.10
| Facility | | $15,496.80 | $22,599.50 | $36,686.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,912.80 / $49,633.76 / $63,633.02
| Facility | | $34,912.80 | $49,633.76 | $63,633.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,196.88 / $35,181.97 / $44,214.95
| Facility | | $18,196.88 | $35,181.97 | $44,214.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,168.30 / $24,304.10 / $38,863.40
| Facility | | $16,168.30 | $24,304.10 | $38,863.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,908.68 / $32,334.07 / $49,124.86
| Facility | | $18,908.68 | $32,334.07 | $49,124.86 |