- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,406.70 / $25,406.70 / $30,112.00
| Facility | | $25,406.70 | $25,406.70 | $30,112.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,244.84 / $29,685.33 / $44,407.45
| Facility | | $18,244.84 | $29,685.33 | $44,407.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,779.55 / $25,719.09 / $43,758.05
| Facility | | $20,779.55 | $25,719.09 | $43,758.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,591.11 / $29,829.47 / $48,826.55
| Facility | | $18,591.11 | $29,829.47 | $48,826.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $268.39 / $16,938.89 / $24,915.06
| Facility | | $268.39 | $16,938.89 | $24,915.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,155.77 / $29,470.25 / $34,634.94
| Facility | | $21,155.77 | $29,470.25 | $34,634.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,093.07 / $31,434.33 / $39,625.53
| Facility | | $19,093.07 | $31,434.33 | $39,625.53 |