- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,189.70 / $25,592.80 / $41,500.10
| Facility | | $16,189.70 | $25,592.80 | $41,500.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,471.12 / $18,950.31 / $43,304.98
| Facility | | $14,471.12 | $18,950.31 | $43,304.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $16,433.24 / $33,730.14
| Facility | | $100.00 | $16,433.24 | $33,730.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,860.64 / $26,862.00 / $49,477.12
| Facility | | $16,860.64 | $26,862.00 | $49,477.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,482.18 / $32,645.35 / $38,312.08
| Facility | | $22,482.18 | $32,645.35 | $38,312.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,841.30 / $22,560.05 / $49,477.12
| Facility | | $14,841.30 | $22,560.05 | $49,477.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $20,797.90 / $42,578.96
| Facility | | $5,693.00 | $20,797.90 | $42,578.96 |