- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,059.30 / $26,059.30 / $30,885.50
| Facility | | $26,059.30 | $26,059.30 | $30,885.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,142.75 / $31,146.29 / $46,592.95
| Facility | | $19,142.75 | $31,146.29 | $46,592.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,313.34 / $26,379.76 / $44,882.11
| Facility | | $21,313.34 | $26,379.76 | $44,882.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,068.68 / $30,595.74 / $50,080.81
| Facility | | $19,068.68 | $30,595.74 | $50,080.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.60 / $17,772.53 / $25,555.08
| Facility | | $281.60 | $17,772.53 | $25,555.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,699.22 / $30,227.29 / $35,524.64
| Facility | | $21,699.22 | $30,227.29 | $35,524.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,583.54 / $32,241.82 / $40,643.44
| Facility | | $19,583.54 | $32,241.82 | $40,643.44 |