- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $28,183.83 / $57,543.99
| Facility | | $23,988.33 | $28,183.83 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $24,547.09 / $38,018.94
| Facility | | $15,135.61 | $24,547.09 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $21,379.62 / $32,359.37
| Facility | | $17,782.79 | $21,379.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $17,378.01 / $22,387.21
| Facility | | $14,125.38 | $17,378.01 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $22,908.68 / $37,153.52
| Facility | | $18,620.87 | $22,908.68 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,952.62 / $25,118.86
| Facility | | $14,454.40 | $19,952.62 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $22,908.68 / $28,183.83
| Facility | | $17,782.79 | $22,908.68 | $28,183.83 |