- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,673.90 / $28,148.30 / $49,532.80
| Facility | | $16,673.90 | $28,148.30 | $49,532.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,805.83 / $22,805.83 / $22,805.83
| Facility | | $22,805.83 | $22,805.83 | $22,805.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,572.66 / $27,256.48 / $44,583.88
| Facility | | $18,572.66 | $27,256.48 | $44,583.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,167.51 / $25,515.68 / $35,009.76
| Facility | | $15,167.51 | $25,515.68 | $35,009.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,453.15 / $53,453.15 / $62,731.81
| Facility | | $53,453.15 | $53,453.15 | $62,731.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $24,530.98 / $35,039.69
| Facility | | $1,787.00 | $24,530.98 | $35,039.69 |