- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $28,840.32 / $30,199.52
| Facility | | $24,547.09 | $28,840.32 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $30,902.95 / $44,668.36
| Facility | | $17,782.79 | $30,902.95 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $25,703.96 / $45,708.82
| Facility | | $19,054.61 | $25,703.96 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $24,547.09 / $30,902.95
| Facility | | $21,379.62 | $24,547.09 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,840.32 / $40,738.03
| Facility | | $17,782.79 | $28,840.32 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204.17 / $18,620.87 / $24,547.09
| Facility | | $204.17 | $18,620.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $33,884.42 / $34,673.69
| Facility | | $26,915.35 | $33,884.42 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $30,902.95 / $41,686.94
| Facility | | $18,620.87 | $30,902.95 | $41,686.94 |