- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,794.60 / $23,794.60 / $28,201.30
| Facility | | $23,794.60 | $23,794.60 | $28,201.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,705.43 / $28,807.70 / $43,094.57
| Facility | | $17,705.43 | $28,807.70 | $43,094.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,461.07 / $24,087.19 / $40,981.57
| Facility | | $19,461.07 | $24,087.19 | $40,981.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,411.49 / $27,936.77 / $45,728.47
| Facility | | $17,411.49 | $27,936.77 | $45,728.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $260.45 / $16,438.09 / $23,486.09
| Facility | | $260.45 | $16,438.09 | $23,486.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,813.41 / $27,600.34 / $32,437.32
| Facility | | $19,813.41 | $27,600.34 | $32,437.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,881.59 / $29,439.80 / $37,111.26
| Facility | | $17,881.59 | $29,439.80 | $37,111.26 |