- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,606.60 / $28,587.40 / $40,476.69
| Facility | | $15,606.60 | $28,587.40 | $40,476.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,987.53 / $31,987.53 / $31,987.53
| Facility | | $31,987.53 | $31,987.53 | $31,987.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,553.72 / $28,458.04 / $45,043.04
| Facility | | $17,553.72 | $28,458.04 | $45,043.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,226.10 / $25,715.91 / $45,752.69
| Facility | | $16,226.10 | $25,715.91 | $45,752.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $24,262.94 / $54,102.64
| Facility | | $7,117.00 | $24,262.94 | $54,102.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $23,734.36 / $48,078.43
| Facility | | $3,308.00 | $23,734.36 | $48,078.43 |