- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,876.40 / $28,164.20 / $50,862.50
| Facility | | $20,876.40 | $28,164.20 | $50,862.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,777.81 / $23,473.80 / $33,131.74
| Facility | | $13,777.81 | $23,473.80 | $33,131.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $23,231.40 / $49,658.01
| Facility | | $5,939.30 | $23,231.40 | $49,658.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,933.30 / $27,879.79 / $45,411.30
| Facility | | $18,933.30 | $27,879.79 | $45,411.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $29,751.28 / $51,460.64
| Facility | | $3,496.00 | $29,751.28 | $51,460.64 |