- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,399.30 / $27,345.50 / $45,500.20
| Facility | | $16,399.30 | $27,345.50 | $45,500.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,170.61 / $11,170.61 / $30,449.53
| Facility | | $11,170.61 | $11,170.61 | $30,449.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,062.26 / $22,241.74 / $35,088.49
| Facility | | $14,062.26 | $22,241.74 | $35,088.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,063.04 / $18,123.63 / $35,388.00
| Facility | | $9,063.04 | $18,123.63 | $35,388.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,393.88 / $25,310.72 / $33,694.35
| Facility | | $16,393.88 | $25,310.72 | $33,694.35 |