- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,771.40 / $26,162.10 / $35,107.50
| Facility | | $15,771.40 | $26,162.10 | $35,107.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,731.95 / $20,731.95 / $21,310.34
| Facility | | $20,731.95 | $20,731.95 | $21,310.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,510.08 / $21,846.34 / $33,779.66
| Facility | | $12,510.08 | $21,846.34 | $33,779.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,950.45 / $21,064.50 / $48,309.32
| Facility | | $12,950.45 | $21,064.50 | $48,309.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,375.68 / $20,749.93 / $29,394.81
| Facility | | $15,375.68 | $20,749.93 | $29,394.81 |