- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,230.70 / $37,528.60 / $51,929.90
| Facility | | $23,230.70 | $37,528.60 | $51,929.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,692.59 / $42,692.59 / $42,692.59
| Facility | | $42,692.59 | $42,692.59 | $42,692.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,930.82 / $34,744.21 / $52,638.23
| Facility | | $21,930.82 | $34,744.21 | $52,638.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,415.67 / $34,700.31 / $53,750.89
| Facility | | $22,415.67 | $34,700.31 | $53,750.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,401.11 / $33,348.46 / $50,866.93
| Facility | | $20,401.11 | $33,348.46 | $50,866.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $37,406.68 / $56,433.40
| Facility | | $10,403.00 | $37,406.68 | $56,433.40 |