- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,217.50 / $28,986.30 / $35,000.30
| Facility | | $15,217.50 | $28,986.30 | $35,000.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $26,174.10 / $43,887.74
| Facility | | $6,916.00 | $26,174.10 | $43,887.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,219.40 / $24,370.13 / $29,103.60
| Facility | | $20,219.40 | $24,370.13 | $29,103.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,827.63 / $20,131.40 / $26,384.04
| Facility | | $13,827.63 | $20,131.40 | $26,384.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,020.99 / $25,412.57 / $38,766.19
| Facility | | $15,020.99 | $25,412.57 | $38,766.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,643.16 / $22,380.25 / $28,249.24
| Facility | | $16,643.16 | $22,380.25 | $28,249.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,865.91 / $34,379.37
| Facility | | $3,775.00 | $23,865.91 | $34,379.37 |