- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,785.70 / $28,785.70 / $34,116.80
| Facility | | $28,785.70 | $28,785.70 | $34,116.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,312.00 / $33,048.72 / $49,438.87
| Facility | | $20,312.00 | $33,048.72 | $49,438.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,543.19 / $29,139.68 / $49,577.78
| Facility | | $23,543.19 | $29,139.68 | $49,577.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,063.68 / $33,796.73 / $55,320.38
| Facility | | $21,063.68 | $33,796.73 | $55,320.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $298.80 / $18,858.09 / $28,228.71
| Facility | | $298.80 | $18,858.09 | $28,228.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,969.44 / $33,389.74 / $39,241.31
| Facility | | $23,969.44 | $33,389.74 | $39,241.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,093.36 / $35,351.44 / $44,895.65
| Facility | | $20,093.36 | $35,351.44 | $44,895.65 |