- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $23,442.29 / $30,902.95
| Facility | | $21,379.62 | $23,442.29 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $19,952.62 / $38,018.94
| Facility | | $19,952.62 | $19,952.62 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $24,547.09 / $43,651.58
| Facility | | $10,471.29 | $24,547.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $30,199.52 / $151,356.12
| Facility | | $23,988.33 | $30,199.52 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $28,183.83 / $41,686.94
| Facility | | $21,877.62 | $28,183.83 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $26,302.68 / $43,651.58
| Facility | | $13,182.57 | $26,302.68 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,988.33 / $37,153.52
| Facility | | $15,488.17 | $23,988.33 | $37,153.52 |