- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,552.50 / $24,552.50 / $29,099.60
| Facility | | $24,552.50 | $24,552.50 | $29,099.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,626.98 / $28,680.04 / $42,903.60
| Facility | | $17,626.98 | $28,680.04 | $42,903.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,080.95 / $24,854.43 / $42,286.93
| Facility | | $20,080.95 | $24,854.43 | $42,286.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,966.08 / $28,826.62 / $47,185.03
| Facility | | $17,966.08 | $28,826.62 | $47,185.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.30 / $16,365.26 / $24,077.43
| Facility | | $259.30 | $16,365.26 | $24,077.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,444.52 / $28,479.48 / $33,470.53
| Facility | | $20,444.52 | $28,479.48 | $33,470.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,451.18 / $30,377.53 / $38,293.35
| Facility | | $18,451.18 | $30,377.53 | $38,293.35 |