- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $16,982.44 / $16,982.44
| Facility | | $16,982.44 | $16,982.44 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $28,840.32 / $44,668.36
| Facility | | $18,197.01 | $28,840.32 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $67,608.30 / $70,794.58
| Facility | | $51,286.14 | $67,608.30 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $25,118.86 / $39,810.72
| Facility | | $16,982.44 | $25,118.86 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $26,302.68 / $33,113.11
| Facility | | $18,620.87 | $26,302.68 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $26,915.35 / $56,234.13
| Facility | | $19,498.45 | $26,915.35 | $56,234.13 |