- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,355.80 / $35,355.80 / $41,903.69
| Facility | | $35,355.80 | $35,355.80 | $41,903.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,590.17 / $40,009.51 / $59,851.80
| Facility | | $24,590.17 | $40,009.51 | $59,851.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,916.72 / $35,790.56 / $60,893.49
| Facility | | $28,916.72 | $35,790.56 | $60,893.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,871.29 / $41,510.55 / $67,946.78
| Facility | | $25,871.29 | $41,510.55 | $67,946.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $361.73 / $22,830.02 / $34,671.67
| Facility | | $361.73 | $22,830.02 | $34,671.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,440.26 / $41,010.66 / $48,197.81
| Facility | | $29,440.26 | $41,010.66 | $48,197.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,569.83 / $43,743.86 / $55,142.70
| Facility | | $26,569.83 | $43,743.86 | $55,142.70 |