- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $27,542.29 / $28,183.83
| Facility | | $22,908.68 | $27,542.29 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $29,512.09 / $42,657.95
| Facility | | $16,982.44 | $29,512.09 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $23,988.33 / $43,651.58
| Facility | | $17,782.79 | $23,988.33 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $22,908.68 / $29,512.09
| Facility | | $19,952.62 | $22,908.68 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $26,915.35 / $44,668.36
| Facility | | $16,982.44 | $26,915.35 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $17,378.01 / $22,908.68
| Facility | | $194.98 | $17,378.01 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $31,622.78 / $33,113.11
| Facility | | $25,118.86 | $31,622.78 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,840.32 / $39,810.72
| Facility | | $17,378.01 | $28,840.32 | $39,810.72 |