- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,683.30 / $22,683.30 / $26,884.20
| Facility | | $22,683.30 | $22,683.30 | $26,884.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,929.23 / $25,917.71 / $38,771.32
| Facility | | $15,929.23 | $25,917.71 | $38,771.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,552.16 / $22,962.22 / $39,067.56
| Facility | | $18,552.16 | $22,962.22 | $39,067.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,598.30 / $27,308.07 / $43,592.76
| Facility | | $16,598.30 | $27,308.07 | $43,592.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $234.33 / $14,789.03 / $22,244.37
| Facility | | $234.33 | $14,789.03 | $22,244.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,888.05 / $26,311.29 / $30,922.37
| Facility | | $18,888.05 | $26,311.29 | $30,922.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,361.68 / $28,237.25 / $37,631.56
| Facility | | $17,361.68 | $28,237.25 | $37,631.56 |