- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,818.59 / $20,818.59 / $24,674.20
| Facility | | $20,818.59 | $20,818.59 | $24,674.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,453.38 / $26,770.52 / $40,047.07
| Facility | | $16,453.38 | $26,770.52 | $40,047.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,027.05 / $21,074.58 / $35,855.96
| Facility | | $17,027.05 | $21,074.58 | $35,855.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,233.81 / $24,442.69 / $40,009.16
| Facility | | $15,233.81 | $24,442.69 | $40,009.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $242.04 / $15,275.66 / $21,825.24
| Facility | | $242.04 | $15,275.66 | $21,825.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,335.33 / $24,148.34 / $28,380.35
| Facility | | $17,335.33 | $24,148.34 | $28,380.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,645.13 / $25,757.73 / $32,469.72
| Facility | | $15,645.13 | $25,757.73 | $32,469.72 |