- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,108.70 / $28,528.40 / $47,468.50
| Facility | | $17,108.70 | $28,528.40 | $47,468.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,790.36 / $28,790.36 / $28,790.36
| Facility | | $28,790.36 | $28,790.36 | $28,790.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,758.84 / $23,203.87 / $36,606.35
| Facility | | $14,758.84 | $23,203.87 | $36,606.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,961.59 / $20,404.59 / $36,960.85
| Facility | | $10,961.59 | $20,404.59 | $36,960.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,103.05 / $26,405.61 / $35,151.90
| Facility | | $17,103.05 | $26,405.61 | $35,151.90 |