- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $22,908.68 / $23,988.33
| Facility | | $19,498.45 | $22,908.68 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $24,547.09 / $35,481.34
| Facility | | $14,125.38 | $24,547.09 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,417.38 / $36,307.81
| Facility | | $15,135.61 | $20,417.38 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $19,498.45 / $24,547.09
| Facility | | $16,982.44 | $19,498.45 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $22,908.68 / $37,153.52
| Facility | | $14,125.38 | $22,908.68 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.18 / $14,791.08 / $19,498.45
| Facility | | $162.18 | $14,791.08 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $26,915.35 / $27,542.29
| Facility | | $21,379.62 | $26,915.35 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $24,547.09 / $33,113.11
| Facility | | $14,125.38 | $24,547.09 | $33,113.11 |