- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,787.30 / $29,787.30 / $35,303.80
| Facility | | $29,787.30 | $29,787.30 | $35,303.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,307.99 / $34,669.24 / $51,863.07
| Facility | | $21,307.99 | $34,669.24 | $51,863.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,362.31 / $30,153.52 / $51,302.72
| Facility | | $24,362.31 | $30,153.52 | $51,302.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,796.54 / $34,972.61 / $57,245.12
| Facility | | $21,796.54 | $34,972.61 | $57,245.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.45 / $19,782.78 / $29,210.86
| Facility | | $313.45 | $19,782.78 | $29,210.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,803.40 / $34,551.44 / $40,606.62
| Facility | | $24,803.40 | $34,551.44 | $40,606.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,385.06 / $36,854.17 / $46,457.68
| Facility | | $22,385.06 | $36,854.17 | $46,457.68 |