- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,916.15 / $21,741.20 / $36,707.10
| Facility | | $8,916.15 | $21,741.20 | $36,707.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,718.29 / $36,718.71 / $47,198.95
| Facility | | $23,718.29 | $36,718.71 | $47,198.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,536.68 / $28,913.44 / $46,229.54
| Facility | | $15,536.68 | $28,913.44 | $46,229.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,210.14 / $31,148.18 / $65,318.72
| Facility | | $16,210.14 | $31,148.18 | $65,318.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,636.85 / $13,636.85 / $13,636.85
| Facility | | $13,636.85 | $13,636.85 | $13,636.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,647.00 / $30,942.49 / $46,240.95
| Facility | | $17,647.00 | $30,942.49 | $46,240.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $20,893.97 / $39,770.08
| Facility | | $5,281.00 | $20,893.97 | $39,770.08 |