- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,597.50 / $25,900.50 / $31,274.30
| Facility | | $13,597.50 | $25,900.50 | $31,274.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $23,387.70 / $40,145.26
| Facility | | $6,916.00 | $23,387.70 | $40,145.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,323.64 / $21,784.82 / $26,446.54
| Facility | | $19,323.64 | $21,784.82 | $26,446.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,575.37 / $18,633.45 / $24,844.60
| Facility | | $12,575.37 | $18,633.45 | $24,844.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,964.68 / $23,460.25 / $36,161.51
| Facility | | $13,964.68 | $23,460.25 | $36,161.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,458.14 / $20,978.10 / $26,775.60
| Facility | | $15,458.14 | $20,978.10 | $26,775.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $21,325.23 / $30,719.47
| Facility | | $3,775.00 | $21,325.23 | $30,719.47 |