- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,173.70 / $30,173.70 / $35,761.80
| Facility | | $30,173.70 | $30,173.70 | $35,761.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,545.20 / $33,428.14 / $50,006.46
| Facility | | $20,545.20 | $33,428.14 | $50,006.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,678.41 / $30,544.75 / $51,968.35
| Facility | | $24,678.41 | $30,544.75 | $51,968.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,079.35 / $35,426.36 / $57,987.85
| Facility | | $22,079.35 | $35,426.36 | $57,987.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.23 / $19,074.59 / $29,589.86
| Facility | | $302.23 | $19,074.59 | $29,589.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,125.21 / $34,999.74 / $41,133.47
| Facility | | $25,125.21 | $34,999.74 | $41,133.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,675.50 / $37,332.33 / $47,060.45
| Facility | | $22,675.50 | $37,332.33 | $47,060.45 |