- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,547.90 / $20,547.90 / $24,353.30
| Facility | | $20,547.90 | $20,547.90 | $24,353.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,753.44 / $24,004.64 / $35,909.48
| Facility | | $14,753.44 | $24,004.64 | $35,909.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,805.66 / $20,800.57 / $35,389.76
| Facility | | $16,805.66 | $20,800.57 | $35,389.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,035.74 / $24,124.89 / $39,488.96
| Facility | | $15,035.74 | $24,124.89 | $39,488.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $217.03 / $13,697.41 / $20,150.30
| Facility | | $217.03 | $13,697.41 | $20,150.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,109.93 / $23,834.36 / $28,011.35
| Facility | | $17,109.93 | $23,834.36 | $28,011.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,441.71 / $25,422.83 / $32,047.55
| Facility | | $15,441.71 | $25,422.83 | $32,047.55 |