- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,035.30 / $25,035.30 / $29,671.70
| Facility | | $25,035.30 | $25,035.30 | $29,671.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,947.70 / $30,828.92 / $46,118.19
| Facility | | $18,947.70 | $30,828.92 | $46,118.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,475.75 / $25,343.08 / $43,118.32
| Facility | | $20,475.75 | $25,343.08 | $43,118.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,319.31 / $29,393.38 / $48,112.72
| Facility | | $18,319.31 | $29,393.38 | $48,112.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $278.73 / $17,591.43 / $25,133.94
| Facility | | $278.73 | $17,591.43 | $25,133.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,846.48 / $29,039.41 / $34,128.58
| Facility | | $20,846.48 | $29,039.41 | $34,128.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,813.93 / $30,974.77 / $39,046.22
| Facility | | $18,813.93 | $30,974.77 | $39,046.22 |