- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,357.20 / $31,357.20 / $37,164.50
| Facility | | $31,357.20 | $31,357.20 | $37,164.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,466.68 / $38,181.55 / $57,117.28
| Facility | | $23,466.68 | $38,181.55 | $57,117.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,646.35 / $31,742.79 / $54,006.68
| Facility | | $25,646.35 | $31,742.79 | $54,006.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,945.35 / $36,815.87 / $60,262.28
| Facility | | $22,945.35 | $36,815.87 | $60,262.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $345.21 / $21,786.96 / $31,128.33
| Facility | | $345.21 | $21,786.96 | $31,128.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,110.69 / $36,372.51 / $42,746.83
| Facility | | $26,110.69 | $36,372.51 | $42,746.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,564.89 / $38,796.61 / $48,906.28
| Facility | | $23,564.89 | $38,796.61 | $48,906.28 |