- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,100.60 / $27,180.50 / $47,829.80
| Facility | | $16,100.60 | $27,180.50 | $47,829.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,238.02 / $15,116.64 / $24,855.30
| Facility | | $10,238.02 | $15,116.64 | $24,855.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,226.01 / $24,638.38 / $33,806.05
| Facility | | $14,226.01 | $24,638.38 | $33,806.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,406.80 / $46,406.80 / $54,462.32
| Facility | | $46,406.80 | $46,406.80 | $54,462.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $23,687.55 / $33,834.94
| Facility | | $1,787.00 | $23,687.55 | $33,834.94 |