- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,099.50 / $38,438.10 / $67,689.50
| Facility | | $24,099.50 | $38,438.10 | $67,689.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,312.95 / $31,055.83 / $45,146.28
| Facility | | $13,312.95 | $31,055.83 | $45,146.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,283.85 / $29,887.67 / $50,068.83
| Facility | | $22,283.85 | $29,887.67 | $50,068.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,904.09 / $26,100.22 / $32,119.74
| Facility | | $17,904.09 | $26,100.22 | $32,119.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,781.68 / $27,948.47 / $42,250.62
| Facility | | $8,781.68 | $27,948.47 | $42,250.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,348.85 / $30,043.81 / $40,806.53
| Facility | | $21,348.85 | $30,043.81 | $40,806.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,755.80 / $33,916.14 / $48,794.80
| Facility | | $12,755.80 | $33,916.14 | $48,794.80 |