- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,608.10 / $22,608.10 / $26,795.10
| Facility | | $22,608.10 | $22,608.10 | $26,795.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,757.06 / $25,637.58 / $38,352.25
| Facility | | $15,757.06 | $25,637.58 | $38,352.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,490.66 / $22,886.11 / $38,938.06
| Facility | | $18,490.66 | $22,886.11 | $38,938.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,543.28 / $26,543.73 / $43,448.26
| Facility | | $16,543.28 | $26,543.73 | $43,448.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.79 / $14,629.18 / $22,170.64
| Facility | | $231.79 | $14,629.18 | $22,170.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,825.43 / $26,224.08 / $30,819.87
| Facility | | $18,825.43 | $26,224.08 | $30,819.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,989.95 / $27,971.81 / $35,260.74
| Facility | | $16,989.95 | $27,971.81 | $35,260.74 |