- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,951.20 / $16,094.50 / $24,848.50
| Facility | | $10,951.20 | $16,094.50 | $24,848.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,126.87 / $71,262.83 / $91,362.60
| Facility | | $50,126.87 | $71,262.83 | $91,362.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,325.24 / $23,829.70 / $30,140.26
| Facility | | $12,325.24 | $23,829.70 | $30,140.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,951.20 / $16,461.90 / $26,323.20
| Facility | | $10,951.20 | $16,461.90 | $26,323.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,807.36 / $21,900.74 / $33,273.58
| Facility | | $12,807.36 | $21,900.74 | $33,273.58 |