- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,742.70 / $24,455.60 / $32,817.50
| Facility | | $14,742.70 | $24,455.60 | $32,817.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,256.24 / $19,256.24 / $25,298.39
| Facility | | $19,256.24 | $19,256.24 | $25,298.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,731.77 / $19,803.23 / $31,685.93
| Facility | | $11,731.77 | $19,803.23 | $31,685.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,105.72 / $19,690.50 / $45,158.19
| Facility | | $12,105.72 | $19,690.50 | $45,158.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,287.43 / $19,396.46 / $27,477.44
| Facility | | $14,287.43 | $19,396.46 | $27,477.44 |