- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,954.10 / $27,954.10 / $33,131.19
| Facility | | $27,954.10 | $27,954.10 | $33,131.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,350.89 / $31,484.93 / $47,099.54
| Facility | | $19,350.89 | $31,484.93 | $47,099.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,863.04 / $28,297.85 / $48,145.51
| Facility | | $22,863.04 | $28,297.85 | $48,145.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,455.16 / $32,820.37 / $53,722.21
| Facility | | $20,455.16 | $32,820.37 | $53,722.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $284.66 / $17,965.77 / $27,413.20
| Facility | | $284.66 | $17,965.77 | $27,413.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,276.98 / $32,425.13 / $38,107.65
| Facility | | $23,276.98 | $32,425.13 | $38,107.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,007.47 / $34,586.14 / $43,598.64
| Facility | | $21,007.47 | $34,586.14 | $43,598.64 |