- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,424.80 / $27,424.80 / $32,503.80
| Facility | | $27,424.80 | $27,424.80 | $32,503.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,918.28 / $30,781.05 / $46,046.58
| Facility | | $18,918.28 | $30,781.05 | $46,046.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,430.11 / $27,762.00 / $47,233.83
| Facility | | $22,430.11 | $27,762.00 | $47,233.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,067.83 / $32,198.88 / $52,704.93
| Facility | | $20,067.83 | $32,198.88 | $52,704.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $278.30 / $17,564.12 / $26,894.10
| Facility | | $278.30 | $17,564.12 | $26,894.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,836.21 / $31,811.13 / $37,386.05
| Facility | | $22,836.21 | $31,811.13 | $37,386.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,609.66 / $33,931.22 / $42,773.06
| Facility | | $20,609.66 | $33,931.22 | $42,773.06 |