- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,710.60 / $31,710.60 / $37,583.40
| Facility | | $31,710.60 | $31,710.60 | $37,583.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,017.73 / $37,451.07 / $56,024.53
| Facility | | $23,017.73 | $37,451.07 | $56,024.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,935.39 / $32,100.53 / $54,615.33
| Facility | | $25,935.39 | $32,100.53 | $54,615.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,203.95 / $37,230.79 / $60,941.43
| Facility | | $23,203.95 | $37,230.79 | $60,941.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.60 / $21,370.14 / $31,097.00
| Facility | | $338.60 | $21,370.14 | $31,097.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,404.95 / $36,782.43 / $43,228.58
| Facility | | $26,404.95 | $36,782.43 | $43,228.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,830.46 / $39,233.83 / $49,457.45
| Facility | | $23,830.46 | $39,233.83 | $49,457.45 |