- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,575.10 / $23,575.10 / $27,941.10
| Facility | | $23,575.10 | $23,575.10 | $27,941.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,616.83 / $27,036.47 / $40,444.92
| Facility | | $16,616.83 | $27,036.47 | $40,444.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,281.50 / $23,864.94 / $40,603.43
| Facility | | $19,281.50 | $23,864.94 | $40,603.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,250.83 / $27,679.00 / $45,306.53
| Facility | | $17,250.83 | $27,679.00 | $45,306.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.44 / $15,427.41 / $23,118.87
| Facility | | $244.44 | $15,427.41 | $23,118.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,630.59 / $27,345.67 / $32,138.02
| Facility | | $19,630.59 | $27,345.67 | $32,138.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,716.61 / $29,168.16 / $36,768.83
| Facility | | $17,716.61 | $29,168.16 | $36,768.83 |