- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,346.40 / $20,346.40 / $24,114.50
| Facility | | $20,346.40 | $20,346.40 | $24,114.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,881.34 / $20,958.63 / $31,352.83
| Facility | | $12,881.34 | $20,958.63 | $31,352.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,640.86 / $20,596.58 / $35,042.69
| Facility | | $16,640.86 | $20,596.58 | $35,042.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,888.29 / $23,888.30 / $39,101.69
| Facility | | $14,888.29 | $23,888.30 | $39,101.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $189.49 / $11,959.31 / $18,949.06
| Facility | | $189.49 | $11,959.31 | $18,949.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,942.14 / $23,600.62 / $27,736.65
| Facility | | $16,942.14 | $23,600.62 | $27,736.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,290.28 / $25,173.51 / $31,733.26
| Facility | | $15,290.28 | $25,173.51 | $31,733.26 |