- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,924.59 / $27,717.50 / $48,495.10
| Facility | | $20,924.59 | $27,717.50 | $48,495.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,403.86 / $29,403.86 / $29,403.86
| Facility | | $29,403.86 | $29,403.86 | $29,403.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $22,464.76 / $45,925.57
| Facility | | $5,939.30 | $22,464.76 | $45,925.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,779.59 / $26,592.63 / $43,297.65
| Facility | | $15,779.59 | $26,592.63 | $43,297.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $28,564.20 / $43,628.29
| Facility | | $3,496.00 | $28,564.20 | $43,628.29 |