- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,426.70 / $26,327.20 / $53,503.90
| Facility | | $20,426.70 | $26,327.20 | $53,503.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,495.43 / $18,573.49 / $32,286.77
| Facility | | $17,495.43 | $18,573.49 | $32,286.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,945.32 / $25,001.88 / $28,583.61
| Facility | | $19,945.32 | $25,001.88 | $28,583.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,162.34 / $26,854.56 / $36,913.98
| Facility | | $16,162.34 | $26,854.56 | $36,913.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,994.53 / $35,652.28 / $37,129.79
| Facility | | $20,994.53 | $35,652.28 | $37,129.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $26,224.60 / $36,868.37
| Facility | | $1,518.00 | $26,224.60 | $36,868.37 |