- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,173.70 / $23,423.40 / $47,602.60
| Facility | | $18,173.70 | $23,423.40 | $47,602.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,080.59 / $25,609.26 / $25,749.99
| Facility | | $25,080.59 | $25,609.26 | $25,749.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,052.07 / $21,375.13 / $24,437.30
| Facility | | $17,052.07 | $21,375.13 | $24,437.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,506.49 / $25,678.01 / $33,395.36
| Facility | | $14,506.49 | $25,678.01 | $33,395.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,450.65 / $29,450.65 / $31,190.01
| Facility | | $29,450.65 | $29,450.65 | $31,190.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $22,279.64 / $32,801.92
| Facility | | $1,518.00 | $22,279.64 | $32,801.92 |