- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,621.70 / $25,621.70 / $30,366.80
| Facility | | $25,621.70 | $25,621.70 | $30,366.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,466.80 / $28,419.41 / $42,513.71
| Facility | | $17,466.80 | $28,419.41 | $42,513.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,955.43 / $25,936.78 / $44,128.42
| Facility | | $20,955.43 | $25,936.78 | $44,128.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,748.46 / $30,081.95 / $49,239.82
| Facility | | $18,748.46 | $30,081.95 | $49,239.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $256.94 / $16,216.54 / $25,125.94
| Facility | | $256.94 | $16,216.54 | $25,125.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,334.83 / $29,719.69 / $34,928.08
| Facility | | $21,334.83 | $29,719.69 | $34,928.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,254.68 / $31,700.39 / $39,960.93
| Facility | | $19,254.68 | $31,700.39 | $39,960.93 |