- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,755.50 / $22,755.50 / $26,969.80
| Facility | | $22,755.50 | $22,755.50 | $26,969.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,547.43 / $28,550.61 / $42,709.98
| Facility | | $17,547.43 | $28,550.61 | $42,709.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,611.18 / $23,035.29 / $39,191.87
| Facility | | $18,611.18 | $23,035.29 | $39,191.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,651.12 / $26,716.76 / $43,731.48
| Facility | | $16,651.12 | $26,716.76 | $43,731.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $258.13 / $16,291.41 / $23,276.50
| Facility | | $258.13 | $16,291.41 | $23,276.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,948.15 / $26,395.02 / $31,020.77
| Facility | | $18,948.15 | $26,395.02 | $31,020.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,100.70 / $28,154.15 / $35,490.58
| Facility | | $17,100.70 | $28,154.15 | $35,490.58 |