- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,646.00 / $32,589.50 / $43,732.50
| Facility | | $19,646.00 | $32,589.50 | $43,732.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,287.17 / $25,287.17 / $25,287.17
| Facility | | $25,287.17 | $25,287.17 | $25,287.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,237.52 / $25,720.94 / $41,154.49
| Facility | | $15,237.52 | $25,720.94 | $41,154.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,132.04 / $26,239.50 / $60,177.67
| Facility | | $16,132.04 | $26,239.50 | $60,177.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,039.38 / $25,847.66 / $36,616.35
| Facility | | $19,039.38 | $25,847.66 | $36,616.35 |