- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,542.50 / $32,555.40 / $54,049.70
| Facility | | $20,542.50 | $32,555.40 | $54,049.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,779.49 / $15,779.49 / $15,915.30
| Facility | | $15,779.49 | $15,779.49 | $15,915.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,407.09 / $28,178.35 / $46,712.49
| Facility | | $18,407.09 | $28,178.35 | $46,712.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,429.71 / $33,158.26 / $49,928.98
| Facility | | $25,429.71 | $33,158.26 | $49,928.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,444.38 / $33,283.87 / $55,883.40
| Facility | | $17,444.38 | $33,283.87 | $55,883.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,777.30 / $32,242.79 / $46,778.84
| Facility | | $16,777.30 | $32,242.79 | $46,778.84 |