- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,125.60 / $29,125.60 / $34,519.60
| Facility | | $29,125.60 | $29,125.60 | $34,519.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,633.81 / $35,199.36 / $52,656.11
| Facility | | $21,633.81 | $35,199.36 | $52,656.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,821.15 / $29,483.71 / $50,163.12
| Facility | | $23,821.15 | $29,483.71 | $50,163.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,312.37 / $34,195.75 / $55,973.52
| Facility | | $21,312.37 | $34,195.75 | $55,973.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $318.24 / $20,085.28 / $28,697.04
| Facility | | $318.24 | $20,085.28 | $28,697.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,252.44 / $33,783.94 / $39,704.61
| Facility | | $24,252.44 | $33,783.94 | $39,704.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,887.82 / $36,035.51 / $45,425.71
| Facility | | $21,887.82 | $36,035.51 | $45,425.71 |