- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,877.20 / $19,877.20 / $23,558.40
| Facility | | $19,877.20 | $19,877.20 | $23,558.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,673.90 / $23,875.21 / $35,715.87
| Facility | | $14,673.90 | $23,875.21 | $35,715.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,257.12 / $20,121.63 / $34,234.62
| Facility | | $16,257.12 | $20,121.63 | $34,234.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,544.97 / $23,337.44 / $38,200.01
| Facility | | $14,544.97 | $23,337.44 | $38,200.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $215.86 / $13,623.55 / $19,492.58
| Facility | | $215.86 | $13,623.55 | $19,492.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,551.46 / $23,056.40 / $27,097.05
| Facility | | $16,551.46 | $23,056.40 | $27,097.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,937.69 / $24,593.01 / $31,001.50
| Facility | | $14,937.69 | $24,593.01 | $31,001.50 |