- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,670.50 / $28,142.60 / $49,522.90
| Facility | | $16,670.50 | $28,142.60 | $49,522.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,922.37 / $23,027.41 / $38,052.44
| Facility | | $15,922.37 | $23,027.41 | $38,052.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,164.47 / $25,510.56 / $35,002.76
| Facility | | $15,164.47 | $25,510.56 | $35,002.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,172.45 / $50,172.45 / $58,881.63
| Facility | | $50,172.45 | $50,172.45 | $58,881.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $24,526.07 / $35,032.68
| Facility | | $1,787.00 | $24,526.07 | $35,032.68 |