- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,328.40 / $21,328.40 / $25,278.40
| Facility | | $21,328.40 | $21,328.40 | $25,278.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,567.85 / $22,075.62 / $33,023.78
| Facility | | $13,567.85 | $22,075.62 | $33,023.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,444.00 / $21,590.64 / $36,733.97
| Facility | | $17,444.00 | $21,590.64 | $36,733.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,606.85 / $25,041.22 / $40,988.87
| Facility | | $15,606.85 | $25,041.22 | $40,988.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199.59 / $12,596.68 / $19,958.95
| Facility | | $199.59 | $12,596.68 | $19,958.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,759.82 / $24,739.66 / $29,075.31
| Facility | | $17,759.82 | $24,739.66 | $29,075.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,028.24 / $26,388.46 / $33,264.81
| Facility | | $16,028.24 | $26,388.46 | $33,264.81 |