- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,952.70 / $26,930.80 / $47,390.40
| Facility | | $15,952.70 | $26,930.80 | $47,390.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,331.54 / $30,267.12 / $49,766.25
| Facility | | $20,331.54 | $30,267.12 | $49,766.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,511.46 / $24,412.02 / $33,495.47
| Facility | | $14,511.46 | $24,412.02 | $33,495.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,505.05 / $43,505.05 / $51,056.87
| Facility | | $43,505.05 | $43,505.05 | $51,056.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $23,469.93 / $33,524.10
| Facility | | $1,787.00 | $23,469.93 | $33,524.10 |