- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,025.00 / $30,524.40 / $36,857.50
| Facility | | $16,025.00 | $30,524.40 | $36,857.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $27,563.00 / $47,312.21
| Facility | | $6,916.00 | $27,563.00 | $47,312.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,582.54 / $25,673.96 / $30,381.04
| Facility | | $21,582.54 | $25,673.96 | $30,381.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,407.37 / $20,957.59 / $29,357.54
| Facility | | $14,407.37 | $20,957.59 | $29,357.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,696.18 / $27,611.86 / $43,321.49
| Facility | | $16,696.18 | $27,611.86 | $43,321.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,518.86 / $25,078.18 / $31,937.05
| Facility | | $18,518.86 | $25,078.18 | $31,937.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $25,132.33 / $36,203.68
| Facility | | $3,775.00 | $25,132.33 | $36,203.68 |