- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,335.00 / $27,305.30 / $32,970.50
| Facility | | $14,335.00 | $27,305.30 | $32,970.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,453.00 / $24,656.20 / $40,997.87
| Facility | | $4,453.00 | $24,656.20 | $40,997.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,271.80 / $22,765.44 / $27,707.52
| Facility | | $18,271.80 | $22,765.44 | $27,707.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,559.93 / $18,673.46 / $24,776.40
| Facility | | $12,559.93 | $18,673.46 | $24,776.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,042.95 / $23,993.58 / $34,431.80
| Facility | | $14,042.95 | $23,993.58 | $34,431.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,499.00 / $3,280.00 / $21,548.45
| Facility | | $1,499.00 | $3,280.00 | $21,548.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,723.00 / $20,642.40 / $30,759.47
| Facility | | $1,723.00 | $20,642.40 | $30,759.47 |