- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,131.50 / $32,109.40 / $56,544.60
| Facility | | $20,131.50 | $32,109.40 | $56,544.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,524.81 / $27,753.81 / $40,616.60
| Facility | | $10,524.81 | $27,753.81 | $40,616.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,614.87 / $24,966.74 / $41,825.12
| Facility | | $18,614.87 | $24,966.74 | $41,825.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,768.27 / $21,528.88 / $26,494.11
| Facility | | $14,768.27 | $21,528.88 | $26,494.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,206.40 / $24,335.06 / $38,571.81
| Facility | | $7,206.40 | $24,335.06 | $38,571.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,489.98 / $27,300.30 / $37,116.24
| Facility | | $19,489.98 | $27,300.30 | $37,116.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $20,112.09 / $52,392.56
| Facility | | $3,775.00 | $20,112.09 | $52,392.56 |