- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,014.50 / $36,014.50 / $42,684.30
| Facility | | $36,014.50 | $36,014.50 | $42,684.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,455.43 / $36,457.32 / $62,027.91
| Facility | | $29,455.43 | $36,457.32 | $62,027.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,353.26 / $42,283.88 / $69,212.61
| Facility | | $26,353.26 | $42,283.88 | $69,212.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $397.19 / $25,067.90 / $35,816.00
| Facility | | $397.19 | $25,067.90 | $35,816.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,988.72 / $41,774.67 / $49,095.71
| Facility | | $29,988.72 | $41,774.67 | $49,095.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,064.81 / $44,558.79 / $56,169.98
| Facility | | $27,064.81 | $44,558.79 | $56,169.98 |