- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,000.80 / $25,323.90 / $44,562.70
| Facility | | $15,000.80 | $25,323.90 | $44,562.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,089.91 / $14,772.06 / $24,495.73
| Facility | | $10,089.91 | $14,772.06 | $24,495.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,645.59 / $22,955.41 / $31,622.53
| Facility | | $13,645.59 | $22,955.41 | $31,622.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,678.05 / $45,678.05 / $53,607.07
| Facility | | $45,678.05 | $45,678.05 | $53,607.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $22,069.53 / $31,523.79
| Facility | | $1,787.00 | $22,069.53 | $31,523.79 |