- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,125.50 / $24,125.50 / $28,593.40
| Facility | | $24,125.50 | $24,125.50 | $28,593.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,842.40 / $27,403.48 / $40,993.94
| Facility | | $16,842.40 | $27,403.48 | $40,993.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,731.65 / $24,422.10 / $41,551.37
| Facility | | $19,731.65 | $24,422.10 | $41,551.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,653.57 / $28,325.20 / $46,364.27
| Facility | | $17,653.57 | $28,325.20 | $46,364.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $247.76 / $15,636.84 / $23,658.61
| Facility | | $247.76 | $15,636.84 | $23,658.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,088.90 / $27,984.09 / $32,888.33
| Facility | | $20,088.90 | $27,984.09 | $32,888.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,130.23 / $29,849.12 / $37,627.25
| Facility | | $18,130.23 | $29,849.12 | $37,627.25 |