- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,378.30 / $33,378.30 / $39,559.90
| Facility | | $33,378.30 | $33,378.30 | $39,559.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,273.81 / $37,867.73 / $56,647.82
| Facility | | $23,273.81 | $37,867.73 | $56,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,299.37 / $33,788.75 / $57,487.64
| Facility | | $27,299.37 | $33,788.75 | $57,487.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,424.28 / $39,188.81 / $64,146.44
| Facility | | $24,424.28 | $39,188.81 | $64,146.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.37 / $21,607.89 / $32,732.44
| Facility | | $342.37 | $21,607.89 | $32,732.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,793.63 / $38,716.87 / $45,502.04
| Facility | | $27,793.63 | $38,716.87 | $45,502.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,083.74 / $41,297.21 / $52,058.50
| Facility | | $25,083.74 | $41,297.21 | $52,058.50 |