- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $22,908.68 / $23,988.33
| Facility | | $19,498.45 | $22,908.68 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $24,547.09 / $35,481.34
| Facility | | $14,125.38 | $24,547.09 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $20,417.38 / $36,307.81
| Facility | | $14,791.08 | $20,417.38 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $19,054.61 / $24,547.09
| Facility | | $16,982.44 | $19,054.61 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $22,387.21 / $37,153.52
| Facility | | $14,125.38 | $22,387.21 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $14,454.40 / $19,054.61
| Facility | | $162.18 | $14,454.40 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $26,302.68 / $27,542.29
| Facility | | $20,892.96 | $26,302.68 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $24,547.09 / $33,113.11
| Facility | | $14,125.38 | $24,547.09 | $33,113.11 |