- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,528.50 / $26,528.50 / $31,441.60
| Facility | | $26,528.50 | $26,528.50 | $31,441.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,236.47 / $31,298.76 / $46,821.05
| Facility | | $19,236.47 | $31,298.76 | $46,821.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,697.07 / $26,854.72 / $45,690.19
| Facility | | $21,697.07 | $26,854.72 | $45,690.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,412.00 / $31,146.60 / $50,982.49
| Facility | | $19,412.00 | $31,146.60 | $50,982.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $282.98 / $17,859.54 / $26,015.18
| Facility | | $282.98 | $17,859.54 | $26,015.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,089.90 / $30,771.51 / $36,164.24
| Facility | | $22,089.90 | $30,771.51 | $36,164.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,936.13 / $32,822.32 / $41,375.19
| Facility | | $19,936.13 | $32,822.32 | $41,375.19 |