- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,044.10 / $30,525.10 / $53,407.30
| Facility | | $23,044.10 | $30,525.10 | $53,407.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,806.28 / $19,806.28 / $19,806.28
| Facility | | $19,806.28 | $19,806.28 | $19,806.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $22,522.45 / $47,605.58
| Facility | | $5,939.30 | $22,522.45 | $47,605.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,377.93 / $29,286.25 / $47,683.35
| Facility | | $17,377.93 | $29,286.25 | $47,683.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $31,457.52 / $54,035.35
| Facility | | $3,496.00 | $31,457.52 | $54,035.35 |