- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,069.80 / $25,069.80 / $29,712.70
| Facility | | $25,069.80 | $25,069.80 | $29,712.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,142.75 / $31,146.29 / $46,592.95
| Facility | | $19,142.75 | $31,146.29 | $46,592.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,504.05 / $25,378.10 / $43,177.89
| Facility | | $20,504.05 | $25,378.10 | $43,177.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,344.62 / $29,433.98 / $48,179.19
| Facility | | $18,344.62 | $29,433.98 | $48,179.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.60 / $17,772.53 / $25,392.68
| Facility | | $281.60 | $17,772.53 | $25,392.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,875.28 / $29,079.53 / $34,175.73
| Facility | | $20,875.28 | $29,079.53 | $34,175.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,839.93 / $31,017.56 / $39,100.16
| Facility | | $18,839.93 | $31,017.56 | $39,100.16 |