- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,871.30 / $28,326.80 / $34,203.90
| Facility | | $14,871.30 | $28,326.80 | $34,203.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $25,578.55 / $39,620.87
| Facility | | $6,916.00 | $25,578.55 | $39,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,154.59 / $23,494.88 / $28,952.02
| Facility | | $20,154.59 | $23,494.88 | $28,952.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,354.45 / $18,868.30 / $24,417.80
| Facility | | $13,354.45 | $18,868.30 | $24,417.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,576.96 / $24,078.40 / $35,938.80
| Facility | | $13,576.96 | $24,078.40 | $35,938.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,025.08 / $20,544.12 / $29,522.26
| Facility | | $15,025.08 | $20,544.12 | $29,522.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,322.88 / $33,597.12
| Facility | | $3,775.00 | $23,322.88 | $33,597.12 |