- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,948.30 / $35,948.30 / $42,605.90
| Facility | | $35,948.30 | $35,948.30 | $42,605.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,788.49 / $40,332.19 / $60,334.52
| Facility | | $24,788.49 | $40,332.19 | $60,334.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,401.31 / $36,390.33 / $61,913.95
| Facility | | $29,401.31 | $36,390.33 | $61,913.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,304.85 / $42,206.19 / $69,085.45
| Facility | | $26,304.85 | $42,206.19 | $69,085.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $364.65 / $23,014.15 / $35,252.69
| Facility | | $364.65 | $23,014.15 | $35,252.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,933.63 / $41,697.92 / $49,005.51
| Facility | | $29,933.63 | $41,697.92 | $49,005.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,015.09 / $44,476.93 / $56,066.79
| Facility | | $27,015.09 | $44,476.93 | $56,066.79 |