- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,582.50 / $18,582.50 / $22,023.90
| Facility | | $18,582.50 | $18,582.50 | $22,023.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,961.58 / $24,343.29 / $36,416.07
| Facility | | $14,961.58 | $24,343.29 | $36,416.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,198.16 / $18,810.93 / $32,004.63
| Facility | | $15,198.16 | $18,810.93 | $32,004.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,597.53 / $21,817.27 / $35,711.73
| Facility | | $13,597.53 | $21,817.27 | $35,711.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $220.09 / $13,890.64 / $19,846.39
| Facility | | $220.09 | $13,890.64 | $19,846.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,473.32 / $21,554.54 / $25,331.99
| Facility | | $15,473.32 | $21,554.54 | $25,331.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,964.67 / $22,991.06 / $28,982.11
| Facility | | $13,964.67 | $22,991.06 | $28,982.11 |