- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,887.80 / $33,315.69 / $58,668.90
| Facility | | $20,887.80 | $33,315.69 | $58,668.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,265.82 / $20,757.75 / $26,221.22
| Facility | | $16,265.82 | $20,757.75 | $26,221.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,398.33 / $28,331.83 / $41,462.51
| Facility | | $10,398.33 | $28,331.83 | $41,462.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,314.20 / $25,904.70 / $43,396.43
| Facility | | $19,314.20 | $25,904.70 | $43,396.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,130.31 / $22,644.60 / $27,143.61
| Facility | | $15,130.31 | $22,644.60 | $27,143.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,864.43 / $24,834.32 / $38,888.60
| Facility | | $6,864.43 | $24,834.32 | $38,888.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,650.05 / $27,524.52 / $37,421.08
| Facility | | $19,650.05 | $27,524.52 | $37,421.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,055.90 / $29,396.32 / $42,292.18
| Facility | | $11,055.90 | $29,396.32 | $42,292.18 |