- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,557.10 / $26,557.10 / $31,475.40
| Facility | | $26,557.10 | $26,557.10 | $31,475.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,045.77 / $30,988.49 / $46,356.89
| Facility | | $19,045.77 | $30,988.49 | $46,356.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,720.44 / $26,883.64 / $45,739.40
| Facility | | $21,720.44 | $26,883.64 | $45,739.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,432.91 / $31,180.14 / $51,037.40
| Facility | | $19,432.91 | $31,180.14 | $51,037.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $280.17 / $17,682.49 / $26,043.20
| Facility | | $280.17 | $17,682.49 | $26,043.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,113.69 / $30,804.66 / $36,203.19
| Facility | | $22,113.69 | $30,804.66 | $36,203.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,426.00 / $33,467.47 / $44,058.17
| Facility | | $19,426.00 | $33,467.47 | $44,058.17 |