- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,531.40 / $22,531.40 / $26,704.20
| Facility | | $22,531.40 | $22,531.40 | $26,704.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,082.88 / $26,167.70 / $39,145.29
| Facility | | $16,082.88 | $26,167.70 | $39,145.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,427.93 / $22,808.47 / $38,805.97
| Facility | | $18,427.93 | $22,808.47 | $38,805.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,487.16 / $26,453.69 / $43,300.87
| Facility | | $16,487.16 | $26,453.69 | $43,300.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $236.59 / $14,931.68 / $22,095.43
| Facility | | $236.59 | $14,931.68 | $22,095.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,761.58 / $26,135.12 / $30,715.31
| Facility | | $18,761.58 | $26,135.12 | $30,715.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,481.30 / $28,394.28 / $37,379.58
| Facility | | $16,481.30 | $28,394.28 | $37,379.58 |