- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,306.10 / $29,547.50 / $51,696.90
| Facility | | $22,306.10 | $29,547.50 | $51,696.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,731.68 / $35,731.68 / $35,731.68
| Facility | | $35,731.68 | $35,731.68 | $35,731.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $25,565.92 / $50,462.68
| Facility | | $5,939.30 | $25,565.92 | $50,462.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,821.40 / $28,348.34 / $46,156.28
| Facility | | $16,821.40 | $28,348.34 | $46,156.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $30,450.09 / $46,508.74
| Facility | | $3,496.00 | $30,450.09 | $46,508.74 |