- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,399.40 / $23,714.40 / $48,193.90
| Facility | | $18,399.40 | $23,714.40 | $48,193.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,835.44 / $27,835.44 / $27,835.44
| Facility | | $27,835.44 | $27,835.44 | $27,835.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,872.12 / $22,403.08 / $25,612.51
| Facility | | $17,872.12 | $22,403.08 | $25,612.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,686.67 / $25,996.95 / $33,810.16
| Facility | | $14,686.67 | $25,996.95 | $33,810.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $23,621.92 / $33,209.33
| Facility | | $1,518.00 | $23,621.92 | $33,209.33 |