- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,259.20 / $33,606.69 / $45,097.50
| Facility | | $20,259.20 | $33,606.69 | $45,097.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,571.60 / $39,571.60 / $39,571.60
| Facility | | $39,571.60 | $39,571.60 | $39,571.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,031.34 / $30,806.42 / $49,291.45
| Facility | | $18,031.34 | $30,806.42 | $49,291.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,635.57 / $27,058.50 / $62,055.96
| Facility | | $16,635.57 | $27,058.50 | $62,055.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,750.90 / $26,654.43 / $38,224.64
| Facility | | $19,750.90 | $26,654.43 | $38,224.64 |