- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,942.50 / $19,258.90 / $39,139.19
| Facility | | $14,942.50 | $19,258.90 | $39,139.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,586.96 / $22,120.36 / $24,326.01
| Facility | | $21,586.96 | $22,120.36 | $24,326.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,863.85 / $18,632.15 / $21,301.36
| Facility | | $14,863.85 | $18,632.15 | $21,301.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,927.34 / $21,112.65 / $27,457.91
| Facility | | $11,927.34 | $21,112.65 | $27,457.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,438.41 / $25,438.41 / $27,974.91
| Facility | | $25,438.41 | $25,438.41 | $27,974.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $16,931.82 / $26,075.43
| Facility | | $1,286.00 | $16,931.82 | $26,075.43 |