- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,695.00 / $31,800.60 / $38,398.50
| Facility | | $16,695.00 | $31,800.60 | $38,398.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $28,715.40 / $48,764.16
| Facility | | $6,916.00 | $28,715.40 | $48,764.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,372.40 / $26,747.38 / $31,429.78
| Facility | | $20,372.40 | $26,747.38 | $31,429.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,433.51 / $20,923.59 / $29,315.60
| Facility | | $13,433.51 | $20,923.59 | $29,315.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,673.81 / $27,941.76 / $43,259.60
| Facility | | $16,673.81 | $27,941.76 | $43,259.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,492.40 / $25,186.08 / $31,337.69
| Facility | | $18,492.40 | $25,186.08 | $31,337.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,183.10 / $37,717.33
| Facility | | $3,775.00 | $26,183.10 | $37,717.33 |