- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,146.90 / $33,420.40 / $44,847.50
| Facility | | $20,146.90 | $33,420.40 | $44,847.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,369.74 / $22,369.74 / $22,369.74
| Facility | | $22,369.74 | $22,369.74 | $22,369.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,052.61 / $29,866.45 / $47,787.48
| Facility | | $17,052.61 | $29,866.45 | $47,787.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,543.34 / $26,908.50 / $61,711.95
| Facility | | $16,543.34 | $26,908.50 | $61,711.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,943.25 / $26,038.46 / $37,235.98
| Facility | | $20,943.25 | $26,038.46 | $37,235.98 |