- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,742.20 / $32,742.20 / $38,806.00
| Facility | | $32,742.20 | $32,742.20 | $38,806.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,845.56 / $37,170.94 / $55,605.46
| Facility | | $22,845.56 | $37,170.94 | $55,605.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,779.11 / $33,144.82 / $56,392.07
| Facility | | $26,779.11 | $33,144.82 | $56,392.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,958.81 / $38,441.97 / $62,923.97
| Facility | | $23,958.81 | $38,441.97 | $62,923.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $336.07 / $21,210.29 / $32,108.64
| Facility | | $336.07 | $21,210.29 | $32,108.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,263.95 / $37,979.04 / $44,634.89
| Facility | | $27,263.95 | $37,979.04 | $44,634.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,605.71 / $40,510.19 / $51,066.39
| Facility | | $24,605.71 | $40,510.19 | $51,066.39 |