- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,583.20 / $29,639.80 / $52,195.70
| Facility | | $18,583.20 | $29,639.80 | $52,195.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,545.52 / $23,518.44 / $34,486.55
| Facility | | $9,545.52 | $23,518.44 | $34,486.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,183.18 / $23,046.52 / $38,608.30
| Facility | | $17,183.18 | $23,046.52 | $38,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,292.38 / $18,187.95 / $22,052.39
| Facility | | $12,292.38 | $18,187.95 | $22,052.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $21,507.57 / $31,996.19
| Facility | | $6,600.00 | $21,507.57 | $31,996.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,167.38 / $22,963.54 / $31,230.42
| Facility | | $16,167.38 | $22,963.54 | $31,230.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $18,565.25 / $48,362.98
| Facility | | $3,775.00 | $18,565.25 | $48,362.98 |