- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,429.30 / $28,429.30 / $33,694.40
| Facility | | $28,429.30 | $28,429.30 | $33,694.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,678.14 / $33,644.44 / $50,330.04
| Facility | | $20,678.14 | $33,644.44 | $50,330.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,251.69 / $28,778.89 / $48,963.95
| Facility | | $23,251.69 | $28,778.89 | $48,963.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,802.89 / $33,378.29 / $54,635.45
| Facility | | $20,802.89 | $33,378.29 | $54,635.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $304.19 / $19,198.02 / $27,879.20
| Facility | | $304.19 | $19,198.02 | $27,879.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,672.67 / $32,976.33 / $38,755.46
| Facility | | $23,672.67 | $32,976.33 | $38,755.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,364.58 / $35,174.08 / $44,339.79
| Facility | | $21,364.58 | $35,174.08 | $44,339.79 |