- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,276.10 / $33,276.10 / $39,438.69
| Facility | | $33,276.10 | $33,276.10 | $39,438.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,118.33 / $39,241.80 / $58,703.35
| Facility | | $24,118.33 | $39,241.80 | $58,703.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,215.74 / $33,685.23 / $57,311.52
| Facility | | $27,215.74 | $33,685.23 | $57,311.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,349.45 / $39,068.75 / $63,949.92
| Facility | | $24,349.45 | $39,068.75 | $63,949.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.79 / $22,391.96 / $32,632.16
| Facility | | $354.79 | $22,391.96 | $32,632.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,708.48 / $38,598.26 / $45,362.64
| Facility | | $27,708.48 | $38,598.26 | $45,362.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,006.90 / $41,170.69 / $51,899.01
| Facility | | $25,006.90 | $41,170.69 | $51,899.01 |