- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,756.50 / $23,223.20 / $40,866.10
| Facility | | $13,756.50 | $23,223.20 | $40,866.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,102.00 / $3,102.00 / $13,614.00
| Facility | | $3,102.00 | $3,102.00 | $13,614.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,815.69 / $15,496.73 / $25,480.27
| Facility | | $10,815.69 | $15,496.73 | $25,480.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,513.65 / $21,065.18 / $29,404.66
| Facility | | $12,513.65 | $21,065.18 | $29,404.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,918.45 / $43,918.45 / $51,542.03
| Facility | | $43,918.45 | $43,918.45 | $51,542.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $20,238.80 / $28,908.81
| Facility | | $1,787.00 | $20,238.80 | $28,908.81 |