- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,768.30 / $27,407.30 / $36,022.60
| Facility | | $18,768.30 | $27,407.30 | $36,022.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,942.41 / $20,942.41 / $20,942.41
| Facility | | $20,942.41 | $20,942.41 | $20,942.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,987.92 / $21,754.12 / $36,794.17
| Facility | | $7,987.92 | $21,754.12 | $36,794.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,754.50 / $26,299.31 / $46,077.49
| Facility | | $19,754.50 | $26,299.31 | $46,077.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,607.97 / $30,722.84 / $44,857.85
| Facility | | $23,607.97 | $30,722.84 | $44,857.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,607.97 / $28,560.97 / $44,857.85
| Facility | | $23,607.97 | $28,560.97 | $44,857.85 |