- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $23,988.33 / $28,840.32
| Facility | | $19,498.45 | $23,988.33 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $21,379.62 / $34,673.69
| Facility | | $20,892.96 | $21,379.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $24,547.09 / $38,018.94
| Facility | | $18,620.87 | $24,547.09 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $29,512.09 / $29,512.09
| Facility | | $14,454.40 | $29,512.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $27,542.29 / $40,738.03
| Facility | | $19,498.45 | $27,542.29 | $40,738.03 |