- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,748.30 / $27,378.10 / $35,984.30
| Facility | | $18,748.30 | $27,378.10 | $35,984.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,699.57 / $17,699.57 / $23,800.69
| Facility | | $17,699.57 | $17,699.57 | $23,800.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,436.30 / $17,740.49 / $29,647.07
| Facility | | $6,436.30 | $17,740.49 | $29,647.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,733.48 / $27,626.54 / $49,277.95
| Facility | | $19,733.48 | $27,626.54 | $49,277.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,582.85 / $30,690.15 / $44,810.12
| Facility | | $23,582.85 | $30,690.15 | $44,810.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,510.43 / $29,532.63 / $42,569.44
| Facility | | $19,510.43 | $29,532.63 | $42,569.44 |