- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,476.40 / $18,194.80 / $29,535.80
| Facility | | $12,476.40 | $18,194.80 | $29,535.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,984.05 / $35,984.05 / $35,984.05
| Facility | | $35,984.05 | $35,984.05 | $35,984.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,802.62 / $39,525.57 / $50,673.81
| Facility | | $27,802.62 | $39,525.57 | $50,673.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,650.23 / $28,702.21 / $41,498.58
| Facility | | $14,650.23 | $28,702.21 | $41,498.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,017.00 / $19,567.20 / $31,288.70
| Facility | | $13,017.00 | $19,567.20 | $31,288.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,223.29 / $26,032.01 / $39,550.19
| Facility | | $15,223.29 | $26,032.01 | $39,550.19 |