- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,148.90 / $27,749.10 / $39,289.69
| Facility | | $15,148.90 | $27,749.10 | $39,289.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,646.80 / $24,646.80 / $27,808.59
| Facility | | $24,646.80 | $24,646.80 | $27,808.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,869.91 / $27,194.09 / $43,362.02
| Facility | | $16,869.91 | $27,194.09 | $43,362.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,750.24 / $24,961.74 / $44,410.90
| Facility | | $15,750.24 | $24,961.74 | $44,410.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $23,551.38 / $52,515.98
| Facility | | $7,117.00 | $23,551.38 | $52,515.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $23,038.31 / $46,668.44
| Facility | | $3,308.00 | $23,038.31 | $46,668.44 |