- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,086.30 / $22,086.30 / $26,176.60
| Facility | | $22,086.30 | $22,086.30 | $26,176.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,854.04 / $25,795.37 / $38,588.31
| Facility | | $15,854.04 | $25,795.37 | $38,588.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,063.88 / $22,357.87 / $38,039.33
| Facility | | $18,063.88 | $22,357.87 | $38,039.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,161.44 / $25,931.07 / $42,445.43
| Facility | | $16,161.44 | $25,931.07 | $42,445.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $233.22 / $14,719.22 / $21,658.92
| Facility | | $233.22 | $14,719.22 | $21,658.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,390.93 / $25,618.80 / $30,108.51
| Facility | | $18,390.93 | $25,618.80 | $30,108.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,597.81 / $27,326.19 / $34,446.89
| Facility | | $16,597.81 | $27,326.19 | $34,446.89 |