- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,218.80 / $27,218.80 / $32,259.60
| Facility | | $27,218.80 | $27,218.80 | $32,259.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,661.05 / $35,243.69 / $52,722.41
| Facility | | $21,661.05 | $35,243.69 | $52,722.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,261.61 / $27,553.45 / $46,879.00
| Facility | | $22,261.61 | $27,553.45 | $46,879.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,917.08 / $31,957.00 / $52,309.00
| Facility | | $19,917.08 | $31,957.00 | $52,309.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $318.64 / $20,110.57 / $28,733.17
| Facility | | $318.64 | $20,110.57 | $28,733.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,664.66 / $31,572.16 / $37,105.19
| Facility | | $22,664.66 | $31,572.16 | $37,105.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,454.84 / $33,676.32 / $42,451.74
| Facility | | $20,454.84 | $33,676.32 | $42,451.74 |