- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,280.30 / $28,505.90 / $36,322.80
| Facility | | $18,280.30 | $28,505.90 | $36,322.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,666.36 / $38,666.36 / $38,666.36
| Facility | | $38,666.36 | $38,666.36 | $38,666.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,137.80 / $29,200.65 / $34,394.58
| Facility | | $16,137.80 | $29,200.65 | $34,394.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,559.20 / $29,614.08 / $41,487.16
| Facility | | $15,559.20 | $29,614.08 | $41,487.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,141.02 / $32,304.85 / $41,487.16
| Facility | | $28,141.02 | $32,304.85 | $41,487.16 |