- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,620.50 / $25,449.50 / $42,124.70
| Facility | | $10,620.50 | $25,449.50 | $42,124.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,438.76 / $42,201.16 / $54,721.92
| Facility | | $28,438.76 | $42,201.16 | $54,721.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $33,805.67 / $54,051.71
| Facility | | $17,646.00 | $33,805.67 | $54,051.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,952.93 / $36,418.54 / $76,370.83
| Facility | | $18,952.93 | $36,418.54 | $76,370.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $36,178.04 / $54,065.05
| Facility | | $17,648.00 | $36,178.04 | $54,065.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $24,206.86 / $46,499.30
| Facility | | $5,281.00 | $24,206.86 | $46,499.30 |