- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,096.80 / $29,667.50 / $49,204.50
| Facility | | $23,096.80 | $29,667.50 | $49,204.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,465.90 / $7,465.90 / $7,465.90
| Facility | | $7,465.90 | $7,465.90 | $7,465.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,909.32 / $27,515.04 / $52,741.51
| Facility | | $18,909.32 | $27,515.04 | $52,741.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,546.21 / $31,983.00 / $47,177.00
| Facility | | $25,546.21 | $31,983.00 | $47,177.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,880.63 / $31,735.84 / $50,873.90
| Facility | | $15,880.63 | $31,735.84 | $50,873.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,273.35 / $31,059.96 / $49,893.00
| Facility | | $15,273.35 | $31,059.96 | $49,893.00 |