- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,878.90 / $24,878.90 / $29,486.40
| Facility | | $24,878.90 | $24,878.90 | $29,486.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,316.75 / $29,802.35 / $44,582.51
| Facility | | $18,316.75 | $29,802.35 | $44,582.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,347.84 / $25,184.77 / $42,848.96
| Facility | | $20,347.84 | $25,184.77 | $42,848.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,204.87 / $29,209.76 / $47,812.16
| Facility | | $18,204.87 | $29,209.76 | $47,812.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.45 / $17,005.66 / $24,397.44
| Facility | | $269.45 | $17,005.66 | $24,397.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,716.25 / $28,858.00 / $33,915.37
| Facility | | $20,716.25 | $28,858.00 | $33,915.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,696.41 / $30,781.27 / $38,802.30
| Facility | | $18,696.41 | $30,781.27 | $38,802.30 |