- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,137.90 / $38,137.90 / $45,200.90
| Facility | | $38,137.90 | $38,137.90 | $45,200.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,163.69 / $42,569.73 / $63,681.72
| Facility | | $26,163.69 | $42,569.73 | $63,681.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,192.08 / $38,606.80 / $65,684.99
| Facility | | $31,192.08 | $38,606.80 | $65,684.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,907.02 / $44,776.87 / $73,293.28
| Facility | | $27,907.02 | $44,776.87 | $73,293.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $384.88 / $24,290.92 / $37,399.87
| Facility | | $384.88 | $24,290.92 | $37,399.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,756.82 / $44,237.65 / $51,990.33
| Facility | | $31,756.82 | $44,237.65 | $51,990.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,660.52 / $47,185.92 / $59,481.69
| Facility | | $28,660.52 | $47,185.92 | $59,481.69 |