- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,766.30 / $19,031.70 / $38,677.50
| Facility | | $14,766.30 | $19,031.70 | $38,677.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,575.54 / $23,575.54 / $23,575.54
| Facility | | $23,575.54 | $23,575.54 | $23,575.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,013.98 / $17,566.82 / $20,083.41
| Facility | | $14,013.98 | $17,566.82 | $20,083.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,786.63 / $20,863.58 / $27,133.98
| Facility | | $11,786.63 | $20,863.58 | $27,133.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,111.87 / $27,111.87 / $27,111.87
| Facility | | $27,111.87 | $27,111.87 | $27,111.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $18,957.52 / $26,651.80
| Facility | | $1,518.00 | $18,957.52 | $26,651.80 |