- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $30,902.95 / $31,622.78
| Facility | | $25,703.96 | $30,902.95 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,113.11 / $47,863.01
| Facility | | $19,054.61 | $33,113.11 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $26,915.35 / $48,977.88
| Facility | | $19,952.62 | $26,915.35 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $25,703.96 / $33,113.11
| Facility | | $22,387.21 | $25,703.96 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,199.52 / $50,118.72
| Facility | | $19,054.61 | $30,199.52 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $19,498.45 / $25,703.96
| Facility | | $218.78 | $19,498.45 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $35,481.34 / $37,153.52
| Facility | | $28,183.83 | $35,481.34 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $32,359.37 / $44,668.36
| Facility | | $19,498.45 | $32,359.37 | $44,668.36 |