- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,424.80 / $26,424.80 / $31,318.60
| Facility | | $26,424.80 | $26,424.80 | $31,318.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,406.46 / $31,575.35 / $47,234.81
| Facility | | $19,406.46 | $31,575.35 | $47,234.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,612.21 / $26,749.68 / $45,511.48
| Facility | | $21,612.21 | $26,749.68 | $45,511.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,336.07 / $31,024.77 / $50,783.08
| Facility | | $19,336.07 | $31,024.77 | $50,783.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285.48 / $18,017.37 / $25,913.43
| Facility | | $285.48 | $18,017.37 | $25,913.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,003.50 / $30,651.16 / $36,022.79
| Facility | | $22,003.50 | $30,651.16 | $36,022.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,858.15 / $32,693.94 / $41,213.37
| Facility | | $19,858.15 | $32,693.94 | $41,213.37 |