- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,630.70 / $24,630.70 / $29,192.30
| Facility | | $24,630.70 | $24,630.70 | $29,192.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,073.75 / $29,406.97 / $43,991.04
| Facility | | $18,073.75 | $29,406.97 | $43,991.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,144.91 / $24,933.59 / $42,421.61
| Facility | | $20,144.91 | $24,933.59 | $42,421.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,023.30 / $28,918.43 / $47,335.31
| Facility | | $18,023.30 | $28,918.43 | $47,335.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.87 / $16,780.06 / $24,154.11
| Facility | | $265.87 | $16,780.06 | $24,154.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,509.64 / $28,570.18 / $33,577.12
| Facility | | $20,509.64 | $28,570.18 | $33,577.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,509.93 / $30,474.28 / $38,415.31
| Facility | | $18,509.93 | $30,474.28 | $38,415.31 |