- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,197.50 / $20,197.50 / $23,938.10
| Facility | | $20,197.50 | $20,197.50 | $23,938.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,424.01 / $21,841.58 / $32,673.68
| Facility | | $13,424.01 | $21,841.58 | $32,673.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,519.09 / $20,445.88 / $34,786.29
| Facility | | $16,519.09 | $20,445.88 | $34,786.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,779.35 / $23,713.50 / $38,815.58
| Facility | | $14,779.35 | $23,713.50 | $38,815.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $197.47 / $12,463.13 / $19,747.36
| Facility | | $197.47 | $12,463.13 | $19,747.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,818.18 / $23,427.94 / $27,533.70
| Facility | | $16,818.18 | $23,427.94 | $27,533.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,178.40 / $24,989.32 / $31,501.07
| Facility | | $15,178.40 | $24,989.32 | $31,501.07 |