- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,534.60 / $27,534.60 / $32,633.90
| Facility | | $27,534.60 | $27,534.60 | $32,633.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,571.34 / $33,470.69 / $50,070.11
| Facility | | $20,571.34 | $33,470.69 | $50,070.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,519.89 / $27,873.13 / $47,422.90
| Facility | | $22,519.89 | $27,873.13 | $47,422.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,148.16 / $32,327.77 / $52,915.90
| Facility | | $20,148.16 | $32,327.77 | $52,915.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.61 / $19,098.87 / $27,287.70
| Facility | | $302.61 | $19,098.87 | $27,287.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,927.62 / $31,938.46 / $37,535.69
| Facility | | $22,927.62 | $31,938.46 | $37,535.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,692.16 / $34,067.04 / $42,944.27
| Facility | | $20,692.16 | $34,067.04 | $42,944.27 |