- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,489.50 / $27,489.50 / $32,580.40
| Facility | | $27,489.50 | $27,489.50 | $32,580.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,812.91 / $32,236.68 / $48,224.11
| Facility | | $19,812.91 | $32,236.68 | $48,224.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,482.99 / $27,827.46 / $47,345.20
| Facility | | $22,482.99 | $27,827.46 | $47,345.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,115.15 / $32,274.80 / $52,829.20
| Facility | | $20,115.15 | $32,274.80 | $52,829.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $291.45 / $18,394.73 / $26,957.52
| Facility | | $291.45 | $18,394.73 | $26,957.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,890.05 / $31,886.13 / $37,474.19
| Facility | | $22,890.05 | $31,886.13 | $37,474.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,108.00 / $34,642.43 / $45,604.94
| Facility | | $20,108.00 | $34,642.43 | $45,604.94 |