- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,474.20 / $19,474.20 / $23,080.80
| Facility | | $19,474.20 | $19,474.20 | $23,080.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.99 / $25,201.42 / $37,699.79
| Facility | | $15,488.99 | $25,201.42 | $37,699.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,927.50 / $19,713.66 / $33,540.50
| Facility | | $15,927.50 | $19,713.66 | $33,540.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,250.06 / $22,864.26 / $37,425.50
| Facility | | $14,250.06 | $22,864.26 | $37,425.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.85 / $14,380.30 / $20,546.00
| Facility | | $227.85 | $14,380.30 | $20,546.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,215.87 / $22,588.92 / $26,547.64
| Facility | | $16,215.87 | $22,588.92 | $26,547.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,634.82 / $24,094.38 / $30,372.93
| Facility | | $14,634.82 | $24,094.38 | $30,372.93 |