- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,752.50 / $28,100.60 / $33,930.80
| Facility | | $14,752.50 | $28,100.60 | $33,930.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $25,374.30 / $42,709.03
| Facility | | $12,397.00 | $25,374.30 | $42,709.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,157.23 / $23,635.28 / $27,227.20
| Facility | | $20,157.23 | $23,635.28 | $27,227.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,379.66 / $19,725.09 / $25,675.43
| Facility | | $13,379.66 | $19,725.09 | $25,675.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,622.07 / $24,963.59 / $39,426.15
| Facility | | $14,622.07 | $24,963.59 | $39,426.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,196.17 / $22,537.64 / $30,401.49
| Facility | | $16,196.17 | $22,537.64 | $30,401.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $24,792.46 / $35,671.55
| Facility | | $3,775.00 | $24,792.46 | $35,671.55 |