- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,820.40 / $32,820.40 / $38,898.69
| Facility | | $32,820.40 | $32,820.40 | $38,898.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,200.40 / $41,002.39 / $61,337.08
| Facility | | $25,200.40 | $41,002.39 | $61,337.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,843.07 / $33,223.98 / $56,526.75
| Facility | | $26,843.07 | $33,223.98 | $56,526.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,016.03 / $38,533.78 / $63,074.25
| Facility | | $24,016.03 | $38,533.78 | $63,074.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.71 / $23,396.57 / $33,428.08
| Facility | | $370.71 | $23,396.57 | $33,428.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,329.07 / $38,069.74 / $44,741.49
| Facility | | $27,329.07 | $38,069.74 | $44,741.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,664.48 / $40,606.94 / $51,188.36
| Facility | | $24,664.48 | $40,606.94 | $51,188.36 |