- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,552.50 / $23,552.50 / $27,914.40
| Facility | | $23,552.50 | $23,552.50 | $27,914.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,219.43 / $28,016.94 / $41,911.64
| Facility | | $17,219.43 | $28,016.94 | $41,911.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,263.05 / $23,842.11 / $40,564.58
| Facility | | $19,263.05 | $23,842.11 | $40,564.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,234.32 / $27,652.51 / $45,263.18
| Facility | | $17,234.32 | $27,652.51 | $45,263.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $253.31 / $15,986.88 / $23,096.75
| Facility | | $253.31 | $15,986.88 | $23,096.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,611.82 / $27,319.51 / $32,107.27
| Facility | | $19,611.82 | $27,319.51 | $32,107.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,699.66 / $29,681.06 / $39,073.56
| Facility | | $17,699.66 | $29,681.06 | $39,073.56 |