- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,217.40 / $27,874.60 / $39,467.50
| Facility | | $15,217.40 | $27,874.60 | $39,467.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,063.47 / $24,535.50 / $27,718.35
| Facility | | $23,063.47 | $24,535.50 | $27,718.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,447.72 / $28,286.19 / $45,057.43
| Facility | | $17,447.72 | $28,286.19 | $45,057.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,821.52 / $25,074.71 / $44,611.89
| Facility | | $15,821.52 | $25,074.71 | $44,611.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $23,657.97 / $52,753.65
| Facility | | $7,117.00 | $23,657.97 | $52,753.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $23,142.57 / $46,879.64
| Facility | | $3,308.00 | $23,142.57 | $46,879.64 |