- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,792.80 / $25,630.30 / $35,000.50
| Facility | | $14,792.80 | $25,630.30 | $35,000.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,886.00 / $25,831.78 / $38,354.44
| Facility | | $12,886.00 | $25,831.78 | $38,354.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,720.51 / $22,979.35 / $33,047.12
| Facility | | $13,720.51 | $22,979.35 | $33,047.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,832.56 / $25,832.56 / $31,368.11
| Facility | | $25,832.56 | $25,832.56 | $31,368.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,137.50 / $25,083.20 / $34,636.80
| Facility | | $14,137.50 | $25,083.20 | $34,636.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,910.01 / $21,163.95 / $32,684.98
| Facility | | $12,910.01 | $21,163.95 | $32,684.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,992.06 / $16,947.36
| Facility | | $2,621.40 | $11,992.06 | $16,947.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,291.37 / $19,604.09 / $35,843.89
| Facility | | $7,291.37 | $19,604.09 | $35,843.89 |