- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,600.70 / $26,600.70 / $31,527.10
| Facility | | $26,600.70 | $26,600.70 | $31,527.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,416.96 / $34,846.54 / $52,128.30
| Facility | | $21,416.96 | $34,846.54 | $52,128.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,756.11 / $26,927.79 / $45,814.51
| Facility | | $21,756.11 | $26,927.79 | $45,814.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,464.82 / $31,231.34 / $51,121.21
| Facility | | $19,464.82 | $31,231.34 | $51,121.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $315.05 / $19,883.95 / $28,409.39
| Facility | | $315.05 | $19,883.95 | $28,409.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,150.01 / $30,855.24 / $36,262.64
| Facility | | $22,150.01 | $30,855.24 | $36,262.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,990.37 / $32,911.62 / $41,487.78
| Facility | | $19,990.37 | $32,911.62 | $41,487.78 |