- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,652.50 / $24,805.80 / $41,183.50
| Facility | | $15,652.50 | $24,805.80 | $41,183.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,185.30 / $20,185.30 / $20,185.30
| Facility | | $20,185.30 | $20,185.30 | $20,185.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,539.42 / $21,780.91 / $36,897.32
| Facility | | $14,539.42 | $21,780.91 | $36,897.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,339.75 / $26,458.27 / $37,885.03
| Facility | | $20,339.75 | $26,458.27 | $37,885.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,783.59 / $26,562.48 / $65,014.55
| Facility | | $12,783.59 | $26,562.48 | $65,014.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,783.59 / $25,360.90 / $35,643.49
| Facility | | $12,783.59 | $25,360.90 | $35,643.49 |