- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,620.90 / $26,370.70 / $46,404.80
| Facility | | $15,620.90 | $26,370.70 | $46,404.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,114.68 / $19,364.08 / $32,298.77
| Facility | | $13,114.68 | $19,364.08 | $32,298.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,140.80 / $23,904.32 / $32,798.85
| Facility | | $14,140.80 | $23,904.32 | $32,798.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,507.50 / $46,507.50 / $54,580.50
| Facility | | $46,507.50 | $46,507.50 | $54,580.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $24,396.80 / $32,826.89
| Facility | | $2,520.00 | $24,396.80 | $32,826.89 |