- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,110.30 / $21,110.30 / $25,019.90
| Facility | | $21,110.30 | $21,110.30 | $25,019.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,308.10 / $24,907.10 / $37,259.51
| Facility | | $15,308.10 | $24,907.10 | $37,259.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,265.66 / $21,369.91 / $36,358.42
| Facility | | $17,265.66 | $21,369.91 | $36,358.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,447.29 / $24,785.21 / $40,569.82
| Facility | | $15,447.29 | $24,785.21 | $40,569.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $225.19 / $14,212.36 / $20,701.84
| Facility | | $225.19 | $14,212.36 | $20,701.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,578.25 / $24,486.74 / $28,778.05
| Facility | | $17,578.25 | $24,486.74 | $28,778.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,864.37 / $26,118.68 / $32,924.73
| Facility | | $15,864.37 | $26,118.68 | $32,924.73 |