- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,890.10 / $37,365.50 / $60,734.70
| Facility | | $21,890.10 | $37,365.50 | $60,734.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,128.09 / $33,065.21 / $34,335.06
| Facility | | $29,128.09 | $33,065.21 | $34,335.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,700.70 / $29,688.77 / $46,836.90
| Facility | | $18,700.70 | $29,688.77 | $46,836.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,787.05 / $20,311.20 / $47,236.69
| Facility | | $7,787.05 | $20,311.20 | $47,236.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,000.00 / $31,841.00 / $43,034.37
| Facility | | $18,000.00 | $31,841.00 | $43,034.37 |