- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,988.70 / $26,988.70 / $31,986.90
| Facility | | $26,988.70 | $26,988.70 | $31,986.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,599.68 / $33,516.79 / $50,139.07
| Facility | | $20,599.68 | $33,516.79 | $50,139.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,073.43 / $27,320.54 / $46,482.73
| Facility | | $22,073.43 | $27,320.54 | $46,482.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,748.72 / $31,686.86 / $51,866.83
| Facility | | $19,748.72 | $31,686.86 | $51,866.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.02 / $19,125.18 / $27,325.28
| Facility | | $303.02 | $19,125.18 | $27,325.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,473.07 / $31,305.28 / $36,791.55
| Facility | | $22,473.07 | $31,305.28 | $36,791.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,281.93 / $33,391.65 / $42,092.89
| Facility | | $20,281.93 | $33,391.65 | $42,092.89 |