- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,378.20 / $29,758.20 / $39,112.50
| Facility | | $20,378.20 | $29,758.20 | $39,112.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,318.56 / $22,318.56 / $26,938.39
| Facility | | $22,318.56 | $22,318.56 | $26,938.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,620.20 / $23,476.06 / $39,706.58
| Facility | | $8,620.20 | $23,476.06 | $39,706.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,701.45 / $29,890.46 / $53,561.85
| Facility | | $20,701.45 | $29,890.46 | $53,561.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,632.99 / $33,358.15 / $48,705.61
| Facility | | $25,632.99 | $33,358.15 | $48,705.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,632.99 / $31,010.84 / $48,705.61
| Facility | | $25,632.99 | $31,010.84 | $48,705.61 |