- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,205.20 / $25,205.20 / $29,873.10
| Facility | | $25,205.20 | $25,205.20 | $29,873.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,594.64 / $30,254.47 / $45,258.84
| Facility | | $18,594.64 | $30,254.47 | $45,258.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,614.74 / $25,515.10 / $43,410.99
| Facility | | $20,614.74 | $25,515.10 | $43,410.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,443.65 / $29,592.89 / $48,439.29
| Facility | | $18,443.65 | $29,592.89 | $48,439.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $273.54 / $17,263.65 / $24,717.45
| Facility | | $273.54 | $17,263.65 | $24,717.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,987.97 / $29,236.51 / $34,360.23
| Facility | | $20,987.97 | $29,236.51 | $34,360.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,941.64 / $31,185.01 / $39,311.25
| Facility | | $18,941.64 | $31,185.01 | $39,311.25 |