- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,547.70 / $32,773.19 / $57,713.60
| Facility | | $20,547.70 | $32,773.19 | $57,713.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,637.09 / $27,504.77 / $40,312.66
| Facility | | $11,637.09 | $27,504.77 | $40,312.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,999.72 / $25,482.91 / $42,689.82
| Facility | | $18,999.72 | $25,482.91 | $42,689.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,311.13 / $23,030.79 / $25,783.29
| Facility | | $14,311.13 | $23,030.79 | $25,783.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,985.03 / $24,288.49 / $37,727.03
| Facility | | $6,985.03 | $24,288.49 | $37,727.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,063.12 / $26,702.38 / $36,303.33
| Facility | | $19,063.12 | $26,702.38 | $36,303.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,875.88 / $29,662.58 / $41,603.56
| Facility | | $10,875.88 | $29,662.58 | $41,603.56 |