- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,695.20 / $20,940.70 / $35,633.40
| Facility | | $14,695.20 | $20,940.70 | $35,633.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,914.96 / $30,728.24 / $35,711.97
| Facility | | $22,914.96 | $30,728.24 | $35,711.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,423.00 / $24,155.03 / $37,202.66
| Facility | | $2,423.00 | $24,155.03 | $37,202.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,629.80 / $19,226.22 / $37,911.17
| Facility | | $13,629.80 | $19,226.22 | $37,911.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $482.00 / $2,600.00 / $38,258.94
| Facility | | $482.00 | $2,600.00 | $38,258.94 |