- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,795.70 / $26,802.90 / $54,470.50
| Facility | | $20,795.70 | $26,802.90 | $54,470.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,131.26 / $33,131.26 / $33,131.26
| Facility | | $33,131.26 | $33,131.26 | $33,131.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,762.53 / $26,026.27 / $29,754.75
| Facility | | $20,762.53 | $26,026.27 | $29,754.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,599.43 / $29,382.75 / $38,213.54
| Facility | | $16,599.43 | $29,382.75 | $38,213.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,346.66 / $24,346.66 / $38,100.94
| Facility | | $24,346.66 | $24,346.66 | $38,100.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $26,698.40 / $37,534.47
| Facility | | $1,518.00 | $26,698.40 | $37,534.47 |