- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,505.60 / $30,880.50 / $49,721.60
| Facility | | $13,505.60 | $30,880.50 | $49,721.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $17,328.66 / $42,714.06
| Facility | | $1,474.01 | $17,328.66 | $42,714.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,353.53 / $32,287.57 / $45,739.23
| Facility | | $22,353.53 | $32,287.57 | $45,739.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,539.43 / $27,080.48 / $56,872.34
| Facility | | $19,539.43 | $27,080.48 | $56,872.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,942.75 / $25,676.00 / $48,822.91
| Facility | | $17,942.75 | $25,676.00 | $48,822.91 |