- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,164.80 / $34,164.80 / $40,492.10
| Facility | | $34,164.80 | $34,164.80 | $40,492.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,692.60 / $40,176.18 / $60,101.11
| Facility | | $24,692.60 | $40,176.18 | $60,101.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,942.62 / $34,584.91 / $58,842.21
| Facility | | $27,942.62 | $34,584.91 | $58,842.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,999.78 / $40,112.21 / $65,657.91
| Facility | | $24,999.78 | $40,112.21 | $65,657.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.24 / $22,925.12 / $33,503.71
| Facility | | $363.24 | $22,925.12 | $33,503.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,448.53 / $39,629.16 / $46,574.20
| Facility | | $28,448.53 | $39,629.16 | $46,574.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,674.79 / $42,270.29 / $53,285.14
| Facility | | $25,674.79 | $42,270.29 | $53,285.14 |