- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $31,622.78 / $32,359.37
| Facility | | $26,302.68 | $31,622.78 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $33,884.42 / $48,977.88
| Facility | | $19,498.45 | $33,884.42 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $27,542.29 / $48,977.88
| Facility | | $20,417.38 | $27,542.29 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $26,302.68 / $33,884.42
| Facility | | $22,908.68 | $26,302.68 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,902.95 / $51,286.14
| Facility | | $19,498.45 | $30,902.95 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $223.87 / $19,952.62 / $26,302.68
| Facility | | $223.87 | $19,952.62 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $36,307.81 / $37,153.52
| Facility | | $28,840.32 | $36,307.81 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $33,113.11 / $45,708.82
| Facility | | $19,498.45 | $33,113.11 | $45,708.82 |