- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,514.90 / $24,514.90 / $29,055.10
| Facility | | $24,514.90 | $24,514.90 | $29,055.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,129.33 / $29,497.40 / $44,126.31
| Facility | | $18,129.33 | $29,497.40 | $44,126.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,050.20 / $24,816.37 / $42,222.18
| Facility | | $20,050.20 | $24,816.37 | $42,222.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,938.57 / $28,782.49 / $47,112.78
| Facility | | $17,938.57 | $28,782.49 | $47,112.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $266.69 / $16,831.65 / $24,048.38
| Facility | | $266.69 | $16,831.65 | $24,048.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,413.22 / $28,435.87 / $33,419.28
| Facility | | $20,413.22 | $28,435.87 | $33,419.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,422.91 / $30,331.01 / $38,234.71
| Facility | | $18,422.91 | $30,331.01 | $38,234.71 |