- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,914.30 / $24,699.90 / $32,464.20
| Facility | | $16,914.30 | $24,699.90 | $32,464.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,032.18 / $19,032.18 / $19,032.18
| Facility | | $19,032.18 | $19,032.18 | $19,032.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,465.40 / $20,331.09 / $34,387.31
| Facility | | $7,465.40 | $20,331.09 | $34,387.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,803.11 / $24,924.05 / $44,457.47
| Facility | | $17,803.11 | $24,924.05 | $44,457.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,275.92 / $27,687.97 / $40,426.69
| Facility | | $21,275.92 | $27,687.97 | $40,426.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,275.92 / $25,739.66 / $40,426.69
| Facility | | $21,275.92 | $25,739.66 | $40,426.69 |