- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,646.50 / $24,955.80 / $43,947.20
| Facility | | $15,646.50 | $24,955.80 | $43,947.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,746.00 / $20,756.74 / $30,355.72
| Facility | | $6,746.00 | $20,756.74 | $30,355.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,467.70 / $19,404.45 / $32,506.99
| Facility | | $14,467.70 | $19,404.45 | $32,506.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,837.11 / $15,181.65 / $19,055.93
| Facility | | $9,837.11 | $15,181.65 | $19,055.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,409.00 / $18,358.88 / $28,408.72
| Facility | | $6,409.00 | $18,358.88 | $28,408.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,354.66 / $20,107.08 / $27,336.67
| Facility | | $14,354.66 | $20,107.08 | $27,336.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,631.36 / $40,720.12
| Facility | | $3,775.00 | $15,631.36 | $40,720.12 |