- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,064.10 / $33,064.10 / $39,187.40
| Facility | | $33,064.10 | $33,064.10 | $39,187.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,607.60 / $40,037.87 / $59,894.23
| Facility | | $24,607.60 | $40,037.87 | $59,894.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,042.32 / $33,470.58 / $56,946.33
| Facility | | $27,042.32 | $33,470.58 | $56,946.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,194.30 / $38,819.81 / $63,542.43
| Facility | | $24,194.30 | $38,819.81 | $63,542.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.99 / $22,846.21 / $32,641.74
| Facility | | $361.99 | $22,846.21 | $32,641.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,531.92 / $38,352.32 / $45,073.59
| Facility | | $27,531.92 | $38,352.32 | $45,073.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,847.55 / $40,908.35 / $51,568.31
| Facility | | $24,847.55 | $40,908.35 | $51,568.31 |