- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,240.70 / $25,728.80 / $45,275.20
| Facility | | $15,240.70 | $25,728.80 | $45,275.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,817.51 / $17,485.70 / $28,926.15
| Facility | | $11,817.51 | $17,485.70 | $28,926.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,863.77 / $23,322.44 / $32,050.01
| Facility | | $13,863.77 | $23,322.44 | $32,050.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,725.55 / $48,725.55 / $57,183.57
| Facility | | $48,725.55 | $48,725.55 | $57,183.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $22,422.39 / $32,027.82
| Facility | | $1,787.00 | $22,422.39 | $32,027.82 |