- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,299.90 / $25,299.90 / $29,985.40
| Facility | | $25,299.90 | $25,299.90 | $29,985.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,536.88 / $30,160.50 / $45,118.27
| Facility | | $18,536.88 | $30,160.50 | $45,118.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,692.22 / $25,611.01 / $43,574.16
| Facility | | $20,692.22 | $25,611.01 | $43,574.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,512.98 / $29,704.12 / $48,621.36
| Facility | | $18,512.98 | $29,704.12 | $48,621.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $272.69 / $17,210.03 / $24,810.35
| Facility | | $272.69 | $17,210.03 | $24,810.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,066.86 / $29,346.41 / $34,489.39
| Facility | | $21,066.86 | $29,346.41 | $34,489.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,012.84 / $31,302.23 / $39,459.01
| Facility | | $19,012.84 | $31,302.23 | $39,459.01 |