- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,674.30 / $23,674.30 / $28,058.80
| Facility | | $23,674.30 | $23,674.30 | $28,058.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,406.52 / $26,694.28 / $39,933.01
| Facility | | $16,406.52 | $26,694.28 | $39,933.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,362.68 / $23,965.41 / $40,774.37
| Facility | | $19,362.68 | $23,965.41 | $40,774.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,323.46 / $27,795.53 / $45,497.27
| Facility | | $17,323.46 | $27,795.53 | $45,497.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $241.35 / $15,232.16 / $23,216.20
| Facility | | $241.35 | $15,232.16 | $23,216.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,713.24 / $27,460.80 / $32,273.32
| Facility | | $19,713.24 | $27,460.80 | $32,273.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,791.20 / $29,290.95 / $36,923.62
| Facility | | $17,791.20 | $29,290.95 | $36,923.62 |