- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,901.60 / $32,901.60 / $38,994.90
| Facility | | $32,901.60 | $32,901.60 | $38,994.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,881.12 / $40,482.90 / $60,559.96
| Facility | | $24,881.12 | $40,482.90 | $60,559.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,909.49 / $33,306.18 / $56,666.61
| Facility | | $26,909.49 | $33,306.18 | $56,666.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,075.45 / $38,629.12 / $63,230.31
| Facility | | $24,075.45 | $38,629.12 | $63,230.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $366.01 / $23,100.15 / $33,004.55
| Facility | | $366.01 | $23,100.15 | $33,004.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,396.69 / $38,163.93 / $44,852.19
| Facility | | $27,396.69 | $38,163.93 | $44,852.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,725.50 / $40,707.41 / $51,315.01
| Facility | | $24,725.50 | $40,707.41 | $51,315.01 |