- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,775.10 / $25,775.10 / $30,548.60
| Facility | | $25,775.10 | $25,775.10 | $30,548.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,178.37 / $29,577.18 / $44,245.66
| Facility | | $18,178.37 | $29,577.18 | $44,245.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,080.88 / $26,092.05 / $44,392.60
| Facility | | $21,080.88 | $26,092.05 | $44,392.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,860.70 / $30,262.04 / $49,534.60
| Facility | | $18,860.70 | $30,262.04 | $49,534.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $267.41 / $16,877.18 / $25,276.36
| Facility | | $267.41 | $16,877.18 | $25,276.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,462.55 / $29,897.61 / $35,137.19
| Facility | | $21,462.55 | $29,897.61 | $35,137.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,369.95 / $31,890.17 / $40,200.16
| Facility | | $19,369.95 | $31,890.17 | $40,200.16 |