- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,909.50 / $31,755.10 / $55,920.80
| Facility | | $19,909.50 | $31,755.10 | $55,920.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,631.76 / $27,202.17 / $39,544.16
| Facility | | $10,631.76 | $27,202.17 | $39,544.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,409.52 / $24,691.32 / $41,363.73
| Facility | | $18,409.52 | $24,691.32 | $41,363.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,407.37 / $20,957.59 / $25,846.66
| Facility | | $14,407.37 | $20,957.59 | $25,846.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,622.94 / $24,631.08 / $37,007.82
| Facility | | $7,622.94 | $24,631.08 | $37,007.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,699.71 / $26,460.46 / $36,004.17
| Facility | | $18,699.71 | $26,460.46 | $36,004.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $19,890.23 / $51,814.59
| Facility | | $3,775.00 | $19,890.23 | $51,814.59 |