- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,380.50 / $24,347.50 / $42,598.90
| Facility | | $18,380.50 | $24,347.50 | $42,598.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,611.20 / $22,611.20 / $23,603.08
| Facility | | $22,611.20 | $22,611.20 | $23,603.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $20,778.38 / $40,578.37
| Facility | | $5,939.30 | $20,778.38 | $40,578.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,515.08 / $24,945.25 / $38,033.33
| Facility | | $16,515.08 | $24,945.25 | $38,033.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $29,327.00 / $43,099.82
| Facility | | $3,496.00 | $29,327.00 | $43,099.82 |