- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,370.90 / $34,370.90 / $40,736.19
| Facility | | $34,370.90 | $34,370.90 | $40,736.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,283.21 / $41,137.14 / $61,538.66
| Facility | | $25,283.21 | $41,137.14 | $61,538.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,111.12 / $34,793.46 / $59,197.04
| Facility | | $28,111.12 | $34,793.46 | $59,197.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,150.54 / $40,354.10 / $66,053.84
| Facility | | $25,150.54 | $40,354.10 | $66,053.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.93 / $23,473.46 / $33,705.74
| Facility | | $371.93 | $23,473.46 | $33,705.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,620.08 / $39,868.12 / $46,855.05
| Facility | | $28,620.08 | $39,868.12 | $46,855.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,829.61 / $42,525.19 / $53,606.46
| Facility | | $25,829.61 | $42,525.19 | $53,606.46 |