- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $23,442.29 / $24,547.09
| Facility | | $19,952.62 | $23,442.29 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $25,118.86 / $36,307.81
| Facility | | $14,454.40 | $25,118.86 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,892.96 / $37,153.52
| Facility | | $15,135.61 | $20,892.96 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $19,498.45 / $25,118.86
| Facility | | $17,378.01 | $19,498.45 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $23,442.29 / $38,018.94
| Facility | | $14,454.40 | $23,442.29 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $14,791.08 / $19,498.45
| Facility | | $165.96 | $14,791.08 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $26,915.35 / $28,183.83
| Facility | | $21,877.62 | $26,915.35 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $25,118.86 / $33,884.42
| Facility | | $14,791.08 | $25,118.86 | $33,884.42 |