- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,177.50 / $24,207.70 / $42,629.80
| Facility | | $15,177.50 | $24,207.70 | $42,629.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,349.79 / $20,127.04 / $29,355.45
| Facility | | $7,349.79 | $20,127.04 | $29,355.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,034.03 / $18,822.80 / $31,532.58
| Facility | | $14,034.03 | $18,822.80 | $31,532.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,271.54 / $16,431.43 / $20,221.03
| Facility | | $11,271.54 | $16,431.43 | $20,221.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $17,801.87 / $27,472.60
| Facility | | $6,409.00 | $17,801.87 | $27,472.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,881.65 / $19,444.52 / $26,435.88
| Facility | | $13,881.65 | $19,444.52 | $26,435.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,464.84 / $9,485.06 / $21,910.09
| Facility | | $6,464.84 | $9,485.06 | $21,910.09 |