- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,206.40 / $29,686.30 / $42,032.60
| Facility | | $16,206.40 | $29,686.30 | $42,032.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,647.31 / $29,647.31 / $29,647.31
| Facility | | $29,647.31 | $29,647.31 | $29,647.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,118.86 / $28,797.80 / $45,838.66
| Facility | | $18,118.86 | $28,797.80 | $45,838.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,849.80 / $28,701.00 / $47,511.33
| Facility | | $16,849.80 | $28,701.00 | $47,511.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $24,348.00 / $51,861.72
| Facility | | $7,896.00 | $24,348.00 | $51,861.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $21,841.00 / $47,113.09
| Facility | | $3,308.00 | $21,841.00 | $47,113.09 |