- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $23,988.33 / $25,118.86
| Facility | | $20,417.38 | $23,988.33 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $25,703.96 / $37,153.52
| Facility | | $14,791.08 | $25,703.96 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,379.62 / $38,018.94
| Facility | | $15,848.93 | $21,379.62 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $20,417.38 / $25,703.96
| Facility | | $17,782.79 | $20,417.38 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $23,988.33 / $38,904.51
| Facility | | $14,791.08 | $23,988.33 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169.82 / $15,488.17 / $20,417.38
| Facility | | $169.82 | $15,488.17 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $28,183.83 / $28,840.32
| Facility | | $22,387.21 | $28,183.83 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $25,703.96 / $34,673.69
| Facility | | $15,488.17 | $25,703.96 | $34,673.69 |