- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,307.40 / $25,307.40 / $29,994.30
| Facility | | $25,307.40 | $25,307.40 | $29,994.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,990.93 / $29,272.23 / $43,789.47
| Facility | | $17,990.93 | $29,272.23 | $43,789.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,698.37 / $25,618.62 / $43,587.11
| Facility | | $20,698.37 | $25,618.62 | $43,587.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,518.48 / $29,712.95 / $48,635.81
| Facility | | $18,518.48 | $29,712.95 | $48,635.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $264.66 / $16,703.16 / $24,817.73
| Facility | | $264.66 | $16,703.16 | $24,817.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,073.12 / $29,355.13 / $34,499.64
| Facility | | $21,073.12 | $29,355.13 | $34,499.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,018.49 / $31,311.53 / $39,470.74
| Facility | | $19,018.49 | $31,311.53 | $39,470.74 |