- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,401.40 / $25,411.20 / $33,399.10
| Facility | | $17,401.40 | $25,411.20 | $33,399.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,938.52 / $20,711.58 / $26,592.09
| Facility | | $18,938.52 | $20,711.58 | $26,592.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,527.29 / $15,175.44 / $25,459.92
| Facility | | $5,527.29 | $15,175.44 | $25,459.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,677.43 / $25,524.14 / $42,721.65
| Facility | | $17,677.43 | $25,524.14 | $42,721.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,888.59 / $28,485.28 / $41,590.83
| Facility | | $21,888.59 | $28,485.28 | $41,590.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,888.59 / $26,480.87 / $41,590.83
| Facility | | $21,888.59 | $26,480.87 | $41,590.83 |