- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $30,902.95 / $43,651.58
| Facility | | $20,417.38 | $30,902.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $19,498.45 / $19,498.45
| Facility | | $19,498.45 | $19,498.45 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $22,387.21 / $38,018.94
| Facility | | $8,317.64 | $22,387.21 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,118.86 / $42,657.95
| Facility | | $18,197.01 | $25,118.86 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $28,183.83 / $41,686.94
| Facility | | $22,908.68 | $28,183.83 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $27,542.29 / $39,810.72
| Facility | | $14,454.40 | $27,542.29 | $39,810.72 |