- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,716.50 / $24,716.50 / $29,293.90
| Facility | | $24,716.50 | $24,716.50 | $29,293.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,699.25 / $30,424.68 / $45,513.46
| Facility | | $18,699.25 | $30,424.68 | $45,513.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,215.00 / $25,020.36 / $42,569.24
| Facility | | $20,215.00 | $25,020.36 | $42,569.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,086.03 / $29,019.07 / $47,500.04
| Facility | | $18,086.03 | $29,019.07 | $47,500.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $275.07 / $17,360.77 / $24,804.37
| Facility | | $275.07 | $17,360.77 | $24,804.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,581.00 / $28,669.61 / $33,693.98
| Facility | | $20,581.00 | $28,669.61 | $33,693.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,252.87 / $30,354.00 / $38,548.99
| Facility | | $17,252.87 | $30,354.00 | $38,548.99 |