- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,499.70 / $34,291.60 / $60,387.50
| Facility | | $21,499.70 | $34,291.60 | $60,387.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,954.65 / $29,243.33 / $43,664.26
| Facility | | $13,954.65 | $29,243.33 | $43,664.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,879.98 / $26,663.54 / $44,667.67
| Facility | | $19,879.98 | $26,663.54 | $44,667.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,929.08 / $26,274.60 / $30,909.73
| Facility | | $16,929.08 | $26,274.60 | $30,909.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,287.66 / $27,468.77 / $40,052.41
| Facility | | $8,287.66 | $27,468.77 | $40,052.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,102.87 / $29,787.31 / $40,535.37
| Facility | | $20,102.87 | $29,787.31 | $40,535.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,478.97 / $58,687.48
| Facility | | $3,775.00 | $21,478.97 | $58,687.48 |