- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,572.10 / $28,395.20 / $46,760.80
| Facility | | $11,572.10 | $28,395.20 | $46,760.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,075.38 / $47,597.65 / $64,127.56
| Facility | | $32,075.38 | $47,597.65 | $64,127.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $37,526.14 / $60,000.35
| Facility | | $17,646.00 | $37,526.14 | $60,000.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,038.80 / $40,426.57 / $84,775.80
| Facility | | $21,038.80 | $40,426.57 | $84,775.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,551.92 / $15,551.92 / $15,551.92
| Facility | | $15,551.92 | $15,551.92 | $15,551.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $40,159.61 / $60,015.16
| Facility | | $17,648.00 | $40,159.61 | $60,015.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $26,870.94 / $51,616.76
| Facility | | $5,281.00 | $26,870.94 | $51,616.76 |