- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,454.70 / $22,454.70 / $26,613.30
| Facility | | $22,454.70 | $22,454.70 | $26,613.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,240.54 / $24,797.17 / $37,095.06
| Facility | | $15,240.54 | $24,797.17 | $37,095.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,365.21 / $22,730.83 / $38,673.87
| Facility | | $18,365.21 | $22,730.83 | $38,673.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,431.04 / $26,363.64 / $43,153.48
| Facility | | $16,431.04 | $26,363.64 | $43,153.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $224.20 / $14,149.64 / $22,020.22
| Facility | | $224.20 | $14,149.64 | $22,020.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,697.72 / $26,046.16 / $30,610.76
| Facility | | $18,697.72 | $26,046.16 | $30,610.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,874.68 / $27,782.03 / $35,021.51
| Facility | | $16,874.68 | $27,782.03 | $35,021.51 |