- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,627.59 / $34,217.69 / $45,917.50
| Facility | | $20,627.59 | $34,217.69 | $45,917.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,215.13 / $23,215.13 / $24,376.30
| Facility | | $23,215.13 | $23,215.13 | $24,376.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,201.31 / $28,489.30 / $45,583.98
| Facility | | $16,201.31 | $28,489.30 | $45,583.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,938.05 / $27,550.50 / $63,184.32
| Facility | | $16,938.05 | $27,550.50 | $63,184.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,990.64 / $27,139.08 / $38,445.80
| Facility | | $19,990.64 | $27,139.08 | $38,445.80 |