- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,672.50 / $28,727.80 / $37,758.19
| Facility | | $19,672.50 | $28,727.80 | $37,758.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,546.56 / $11,546.56 / $22,130.50
| Facility | | $11,546.56 | $11,546.56 | $22,130.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,031.09 / $24,595.06 / $41,599.23
| Facility | | $9,031.09 | $24,595.06 | $41,599.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,984.61 / $28,855.43 / $48,297.47
| Facility | | $19,984.61 | $28,855.43 | $48,297.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,745.38 / $32,203.04 / $47,019.07
| Facility | | $24,745.38 | $32,203.04 | $47,019.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,745.38 / $29,937.02 / $47,019.07
| Facility | | $24,745.38 | $29,937.02 | $47,019.07 |