- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,633.60 / $23,015.80 / $40,501.10
| Facility | | $13,633.60 | $23,015.80 | $40,501.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,122.93 / $20,122.93 / $24,674.57
| Facility | | $20,122.93 | $20,122.93 | $24,674.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,185.32 / $16,510.63 / $27,378.71
| Facility | | $11,185.32 | $16,510.63 | $27,378.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,401.90 / $20,893.06 / $29,185.70
| Facility | | $12,401.90 | $20,893.06 | $29,185.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,552.00 / $41,552.00 / $48,764.80
| Facility | | $41,552.00 | $41,552.00 | $48,764.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $20,058.06 / $28,650.65
| Facility | | $1,787.00 | $20,058.06 | $28,650.65 |