- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,538.90 / $20,538.90 / $24,342.70
| Facility | | $20,538.90 | $20,538.90 | $24,342.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,357.88 / $23,361.04 / $34,946.69
| Facility | | $14,357.88 | $23,361.04 | $34,946.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,798.29 / $20,791.43 / $35,374.22
| Facility | | $16,798.29 | $20,791.43 | $35,374.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,029.14 / $24,114.29 / $39,471.62
| Facility | | $15,029.14 | $24,114.29 | $39,471.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $211.21 / $13,330.16 / $20,141.45
| Facility | | $211.21 | $13,330.16 | $20,141.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,102.41 / $23,823.90 / $27,999.05
| Facility | | $17,102.41 | $23,823.90 | $27,999.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,434.93 / $25,411.67 / $32,033.47
| Facility | | $15,434.93 | $25,411.67 | $32,033.47 |