- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,841.50 / $31,841.50 / $37,738.40
| Facility | | $31,841.50 | $31,841.50 | $37,738.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,998.80 / $40,674.39 / $60,846.41
| Facility | | $24,998.80 | $40,674.39 | $60,846.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,042.39 / $32,232.97 / $54,840.66
| Facility | | $26,042.39 | $32,232.97 | $54,840.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,299.68 / $37,384.39 / $61,192.86
| Facility | | $23,299.68 | $37,384.39 | $61,192.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $367.74 / $23,209.41 / $33,160.66
| Facility | | $367.74 | $23,209.41 | $33,160.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,513.89 / $36,934.19 / $43,406.93
| Facility | | $26,513.89 | $36,934.19 | $43,406.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,928.78 / $39,395.71 / $49,661.50
| Facility | | $23,928.78 | $39,395.71 | $49,661.50 |