- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,835.40 / $28,835.40 / $34,175.60
| Facility | | $28,835.40 | $28,835.40 | $34,175.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,768.99 / $30,538.15 / $45,683.21
| Facility | | $18,768.99 | $30,538.15 | $45,683.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,583.77 / $29,189.91 / $49,663.25
| Facility | | $23,583.77 | $29,189.91 | $49,663.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,100.00 / $33,855.00 / $55,415.75
| Facility | | $21,100.00 | $33,855.00 | $55,415.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.10 / $17,425.52 / $27,610.07
| Facility | | $276.10 | $17,425.52 | $27,610.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,010.76 / $33,447.30 / $39,308.96
| Facility | | $24,010.76 | $33,447.30 | $39,308.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,669.71 / $35,676.43 / $44,973.05
| Facility | | $21,669.71 | $35,676.43 | $44,973.05 |