- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,215.80 / $29,215.80 / $34,626.50
| Facility | | $29,215.80 | $29,215.80 | $34,626.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,975.29 / $32,500.86 / $48,619.31
| Facility | | $19,975.29 | $32,500.86 | $48,619.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,894.94 / $29,575.05 / $50,318.52
| Facility | | $23,894.94 | $29,575.05 | $50,318.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,378.40 / $34,301.69 / $56,146.92
| Facility | | $21,378.40 | $34,301.69 | $56,146.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $293.85 / $18,545.47 / $28,650.47
| Facility | | $293.85 | $18,545.47 | $28,650.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,327.57 / $33,888.61 / $39,827.61
| Facility | | $24,327.57 | $33,888.61 | $39,827.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,955.62 / $36,147.15 / $45,566.43
| Facility | | $21,955.62 | $36,147.15 | $45,566.43 |