- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $28,183.83 / $56,234.13
| Facility | | $23,988.33 | $28,183.83 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $24,547.09 / $37,153.52
| Facility | | $14,791.08 | $24,547.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $20,892.96 / $31,622.78
| Facility | | $18,197.01 | $20,892.96 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $17,378.01 / $22,387.21
| Facility | | $14,454.40 | $17,378.01 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $23,442.29 / $36,307.81
| Facility | | $18,197.01 | $23,442.29 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $19,952.62 / $25,118.86
| Facility | | $14,125.38 | $19,952.62 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $22,387.21 / $27,542.29
| Facility | | $17,378.01 | $22,387.21 | $27,542.29 |