- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,515.09 / $22,574.60 / $45,877.60
| Facility | | $17,515.09 | $22,574.60 | $45,877.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,431.06 / $26,031.62 / $27,638.33
| Facility | | $21,431.06 | $26,031.62 | $27,638.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,731.54 / $22,226.86 / $25,411.05
| Facility | | $17,731.54 | $22,226.86 | $25,411.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,980.82 / $24,747.53 / $32,185.23
| Facility | | $13,980.82 | $24,747.53 | $32,185.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,237.94 / $31,237.94 / $31,784.08
| Facility | | $31,237.94 | $31,237.94 | $31,784.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $22,486.64 / $31,613.28
| Facility | | $1,518.00 | $22,486.64 | $31,613.28 |