- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,119.80 / $27,212.90 / $47,886.90
| Facility | | $16,119.80 | $27,212.90 | $47,886.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,067.57 / $27,067.57 / $27,067.57
| Facility | | $27,067.57 | $27,067.57 | $27,067.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,379.70 / $34,593.62 / $56,673.86
| Facility | | $23,379.70 | $34,593.62 | $56,673.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,663.50 / $24,667.80 / $33,846.41
| Facility | | $14,663.50 | $24,667.80 | $33,846.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,118.00 / $49,965.75 / $58,639.05
| Facility | | $39,118.00 | $49,965.75 | $58,639.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $25,876.19 / $36,064.00
| Facility | | $2,520.00 | $25,876.19 | $36,064.00 |