- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,945.50 / $28,606.80 / $50,339.70
| Facility | | $16,945.50 | $28,606.80 | $50,339.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,509.66 / $12,561.09 / $20,769.06
| Facility | | $8,509.66 | $12,561.09 | $20,769.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,972.54 / $25,931.30 / $35,580.05
| Facility | | $14,972.54 | $25,931.30 | $35,580.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,788.95 / $51,788.95 / $60,778.73
| Facility | | $51,788.95 | $51,788.95 | $60,778.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $24,930.57 / $35,610.47
| Facility | | $1,787.00 | $24,930.57 | $35,610.47 |