- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,408.30 / $30,408.30 / $36,039.90
| Facility | | $30,408.30 | $30,408.30 | $36,039.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,153.65 / $31,164.02 / $46,619.47
| Facility | | $19,153.65 | $31,164.02 | $46,619.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,870.27 / $30,782.23 / $52,372.39
| Facility | | $24,870.27 | $30,782.23 | $52,372.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,251.01 / $35,701.79 / $58,438.69
| Facility | | $22,251.01 | $35,701.79 | $58,438.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.76 / $17,782.65 / $28,175.93
| Facility | | $281.76 | $17,782.65 | $28,175.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,320.55 / $35,271.85 / $41,453.26
| Facility | | $25,320.55 | $35,271.85 | $41,453.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,851.79 / $38,320.82 / $50,447.35
| Facility | | $22,851.79 | $38,320.82 | $50,447.35 |