- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,411.20 / $25,411.20 / $30,117.30
| Facility | | $25,411.20 | $25,411.20 | $30,117.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,141.38 / $24,635.83 / $36,853.69
| Facility | | $15,141.38 | $24,635.83 | $36,853.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,783.24 / $25,723.66 / $43,765.82
| Facility | | $20,783.24 | $25,723.66 | $43,765.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,594.41 / $29,834.77 / $48,835.22
| Facility | | $18,594.41 | $29,834.77 | $48,835.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $222.74 / $14,057.57 / $22,273.69
| Facility | | $222.74 | $14,057.57 | $22,273.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,159.52 / $29,475.49 / $34,641.08
| Facility | | $21,159.52 | $29,475.49 | $34,641.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,096.46 / $32,023.40 / $42,157.13
| Facility | | $19,096.46 | $32,023.40 | $42,157.13 |