- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,765.80 / $23,573.30 / $39,801.19
| Facility | | $10,765.80 | $23,573.30 | $39,801.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,076.00 / $33,791.51 / $43,436.26
| Facility | | $22,076.00 | $33,791.51 | $43,436.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,500.05 / $33,604.16 / $49,329.03
| Facility | | $23,500.05 | $33,604.16 | $49,329.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,292.68 / $33,228.33 / $69,680.85
| Facility | | $17,292.68 | $33,228.33 | $69,680.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,500.05 / $36,586.87 / $49,600.98
| Facility | | $23,500.05 | $36,586.87 | $49,600.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,808.30 / $30,943.11 / $46,517.49
| Facility | | $6,808.30 | $30,943.11 | $46,517.49 |