- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,452.50 / $19,144.30 / $33,495.30
| Facility | | $14,452.50 | $19,144.30 | $33,495.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,832.36 / $26,832.36 / $26,832.36
| Facility | | $26,832.36 | $26,832.36 | $26,832.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $18,469.71 / $36,497.97
| Facility | | $5,939.30 | $18,469.71 | $36,497.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,468.45 / $19,334.00 / $29,905.43
| Facility | | $12,468.45 | $19,334.00 | $29,905.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $19,592.58 / $33,889.19
| Facility | | $3,535.00 | $19,592.58 | $33,889.19 |