- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,226.09 / $20,226.09 / $23,971.90
| Facility | | $20,226.09 | $20,226.09 | $23,971.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,527.88 / $23,637.63 / $35,360.46
| Facility | | $14,527.88 | $23,637.63 | $35,360.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,542.46 / $20,474.80 / $34,835.50
| Facility | | $16,542.46 | $20,474.80 | $34,835.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,800.26 / $23,747.05 / $38,870.50
| Facility | | $14,800.26 | $23,747.05 | $38,870.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.71 / $13,487.98 / $19,834.72
| Facility | | $213.71 | $13,487.98 | $19,834.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,841.97 / $23,461.08 / $27,572.65
| Facility | | $16,841.97 | $23,461.08 | $27,572.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,199.87 / $25,489.10 / $33,555.06
| Facility | | $15,199.87 | $25,489.10 | $33,555.06 |