- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,087.09 / $26,412.50 / $34,715.10
| Facility | | $18,087.09 | $26,412.50 | $34,715.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,480.08 / $14,480.08 / $14,480.08
| Facility | | $14,480.08 | $14,480.08 | $14,480.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,466.37 / $25,780.49 / $43,604.22
| Facility | | $9,466.37 | $25,780.49 | $43,604.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,373.98 / $26,529.87 / $44,405.02
| Facility | | $18,373.98 | $26,529.87 | $44,405.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,751.07 / $29,607.69 / $43,229.64
| Facility | | $22,751.07 | $29,607.69 | $43,229.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,751.07 / $27,524.30 / $43,229.64
| Facility | | $22,751.07 | $27,524.30 | $43,229.64 |