- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,688.20 / $27,253.60 / $44,241.20
| Facility | | $18,688.20 | $27,253.60 | $44,241.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,409.56 / $20,409.56 / $49,734.09
| Facility | | $20,409.56 | $20,409.56 | $49,734.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,554.76 / $54,811.34 / $70,270.95
| Facility | | $38,554.76 | $54,811.34 | $70,270.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,944.34 / $42,792.24 / $53,401.53
| Facility | | $21,944.34 | $42,792.24 | $53,401.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.00 / $29,309.30 / $46,866.90
| Facility | | $19,498.00 | $29,309.30 | $46,866.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,802.72 / $38,992.93 / $59,241.59
| Facility | | $22,802.72 | $38,992.93 | $59,241.59 |