- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,514.80 / $19,514.80 / $23,128.90
| Facility | | $19,514.80 | $19,514.80 | $23,128.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,712.38 / $25,564.88 / $38,243.51
| Facility | | $15,712.38 | $25,564.88 | $38,243.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,960.71 / $19,754.75 / $33,610.43
| Facility | | $15,960.71 | $19,754.75 | $33,610.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,279.77 / $22,911.93 / $37,503.53
| Facility | | $14,279.77 | $22,911.93 | $37,503.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.14 / $14,587.70 / $20,842.32
| Facility | | $231.14 | $14,587.70 | $20,842.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,249.68 / $22,636.01 / $26,602.99
| Facility | | $16,249.68 | $22,636.01 | $26,602.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,665.33 / $24,144.62 / $30,436.26
| Facility | | $14,665.33 | $24,144.62 | $30,436.26 |