- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,127.40 / $19,144.09 / $31,076.90
| Facility | | $13,127.40 | $19,144.09 | $31,076.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,273.55 / $41,273.55 / $41,273.55
| Facility | | $41,273.55 | $41,273.55 | $41,273.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,039.68 / $39,862.58 / $51,105.88
| Facility | | $28,039.68 | $39,862.58 | $51,105.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,414.65 / $29,802.79 / $37,695.12
| Facility | | $15,414.65 | $29,802.79 | $37,695.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,696.30 / $20,588.09 / $32,921.30
| Facility | | $13,696.30 | $20,588.09 | $32,921.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,017.62 / $27,390.32 / $41,613.86
| Facility | | $16,017.62 | $27,390.32 | $41,613.86 |