- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $27,542.29 / $56,234.13
| Facility | | $23,442.29 | $27,542.29 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $23,988.33 / $39,810.72
| Facility | | $14,791.08 | $23,988.33 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $21,379.62 / $31,622.78
| Facility | | $15,135.61 | $21,379.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $15,135.61 / $19,498.45
| Facility | | $11,748.98 | $15,135.61 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,387.21 / $38,018.94
| Facility | | $16,218.10 | $22,387.21 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $19,054.61 / $22,908.68
| Facility | | $13,803.84 | $19,054.61 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $22,387.21 / $26,915.35
| Facility | | $17,378.01 | $22,387.21 | $26,915.35 |