- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,603.50 / $27,337.20 / $27,337.20
| Facility | | $24,603.50 | $27,337.20 | $27,337.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,053.94 / $20,541.83 / $31,825.03
| Facility | | $12,053.94 | $20,541.83 | $31,825.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,918.12 / $16,410.98 / $31,743.70
| Facility | | $7,918.12 | $16,410.98 | $31,743.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,933.00 / $30,099.16 / $47,302.94
| Facility | | $10,933.00 | $30,099.16 | $47,302.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $40,841.14 / $52,732.74
| Facility | | $6,965.00 | $40,841.14 | $52,732.74 |