- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $24,547.09 / $25,118.86
| Facility | | $20,417.38 | $24,547.09 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $26,302.68 / $38,018.94
| Facility | | $15,135.61 | $26,302.68 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,379.62 / $38,018.94
| Facility | | $15,848.93 | $21,379.62 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $20,417.38 / $26,302.68
| Facility | | $17,782.79 | $20,417.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,988.33 / $39,810.72
| Facility | | $15,135.61 | $23,988.33 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $15,488.17 / $20,417.38
| Facility | | $173.78 | $15,488.17 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $28,183.83 / $28,840.32
| Facility | | $22,387.21 | $28,183.83 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,703.96 / $35,481.34
| Facility | | $15,488.17 | $25,703.96 | $35,481.34 |