- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $28,183.83 / $28,840.32
| Facility | | $23,442.29 | $28,183.83 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $30,199.52 / $42,657.95
| Facility | | $17,378.01 | $30,199.52 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $24,547.09 / $43,651.58
| Facility | | $18,197.01 | $24,547.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $23,442.29 / $30,199.52
| Facility | | $20,417.38 | $23,442.29 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $27,542.29 / $44,668.36
| Facility | | $17,378.01 | $27,542.29 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.53 / $17,782.79 / $23,442.29
| Facility | | $199.53 | $17,782.79 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $32,359.37 / $33,113.11
| Facility | | $25,703.96 | $32,359.37 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $29,512.09 / $40,738.03
| Facility | | $17,378.01 | $29,512.09 | $40,738.03 |