- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,249.60 / $25,722.10 / $41,415.90
| Facility | | $11,249.60 | $25,722.10 | $41,415.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,209.52 / $22,173.07 / $22,827.65
| Facility | | $19,209.52 | $22,173.07 | $22,827.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,241.37 / $35,617.68
| Facility | | $1,474.01 | $13,241.37 | $35,617.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,619.52 / $26,894.15 / $38,098.80
| Facility | | $18,619.52 | $26,894.15 | $38,098.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,275.51 / $22,556.87 / $47,372.21
| Facility | | $16,275.51 | $22,556.87 | $47,372.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,281.01 / $22,556.87 / $47,983.87
| Facility | | $15,281.01 | $22,556.87 | $47,983.87 |