- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,280.80 / $31,204.60 / $50,720.60
| Facility | | $18,280.80 | $31,204.60 | $50,720.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,780.17 / $29,780.17 / $29,780.17
| Facility | | $29,780.17 | $29,780.17 | $29,780.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,675.68 / $24,793.63 / $39,114.35
| Facility | | $15,675.68 | $24,793.63 | $39,114.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,477.07 / $39,202.68 / $87,986.70
| Facility | | $16,477.07 | $39,202.68 | $87,986.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,274.82 / $28,214.73 / $37,560.26
| Facility | | $18,274.82 | $28,214.73 | $37,560.26 |