- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $51,286.14
| Facility | | $23,442.29 | $32,359.37 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $42,657.95
| Facility | | $19,054.61 | $28,183.83 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $27,542.29 / $48,977.88
| Facility | | $9,549.93 | $27,542.29 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $26,302.68 / $43,651.58
| Facility | | $7,585.78 | $26,302.68 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $21,379.62 / $36,307.81
| Facility | | $13,489.63 | $21,379.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $34,673.69 / $50,118.72
| Facility | | $10,000.00 | $34,673.69 | $50,118.72 |