- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,238.30 / $27,238.30 / $32,282.80
| Facility | | $27,238.30 | $27,238.30 | $32,282.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,930.21 / $35,681.62 / $53,377.53
| Facility | | $21,930.21 | $35,681.62 | $53,377.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,277.60 / $27,573.24 / $46,912.67
| Facility | | $22,277.60 | $27,573.24 | $46,912.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,931.38 / $31,979.95 / $52,346.57
| Facility | | $19,931.38 | $31,979.95 | $52,346.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $322.60 / $20,360.46 / $29,090.20
| Facility | | $322.60 | $20,360.46 | $29,090.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,680.94 / $31,594.83 / $37,131.85
| Facility | | $22,680.94 | $31,594.83 | $37,131.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,469.54 / $33,700.50 / $42,482.23
| Facility | | $20,469.54 | $33,700.50 | $42,482.23 |