- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,632.50 / $32,632.50 / $38,675.90
| Facility | | $32,632.50 | $32,632.50 | $38,675.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,273.75 / $42,748.80 / $63,949.60
| Facility | | $26,273.75 | $42,748.80 | $63,949.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,689.33 / $33,033.69 / $56,203.00
| Facility | | $26,689.33 | $33,033.69 | $56,203.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,878.48 / $38,313.08 / $62,713.00
| Facility | | $23,878.48 | $38,313.08 | $62,713.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $386.50 / $24,393.10 / $34,851.87
| Facility | | $386.50 | $24,393.10 | $34,851.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,172.54 / $37,851.69 / $44,485.24
| Facility | | $27,172.54 | $37,851.69 | $44,485.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,523.21 / $40,374.37 / $50,895.18
| Facility | | $24,523.21 | $40,374.37 | $50,895.18 |