- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,006.70 / $25,006.70 / $29,637.90
| Facility | | $25,006.70 | $25,006.70 | $29,637.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,386.16 / $28,288.21 / $42,317.44
| Facility | | $17,386.16 | $28,288.21 | $42,317.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,452.39 / $25,314.16 / $43,069.11
| Facility | | $20,452.39 | $25,314.16 | $43,069.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,298.40 / $29,359.83 / $48,057.81
| Facility | | $18,298.40 | $29,359.83 | $48,057.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $255.76 / $16,141.67 / $24,522.79
| Facility | | $255.76 | $16,141.67 | $24,522.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,822.68 / $29,006.26 / $34,089.62
| Facility | | $20,822.68 | $29,006.26 | $34,089.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,792.47 / $30,939.42 / $39,001.66
| Facility | | $18,792.47 | $30,939.42 | $39,001.66 |