- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $35,481.34 / $37,153.52
| Facility | | $30,199.52 | $35,481.34 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $38,018.94 / $54,954.09
| Facility | | $21,877.62 | $38,018.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $31,622.78 / $56,234.13
| Facility | | $23,442.29 | $31,622.78 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $30,199.52 / $38,018.94
| Facility | | $26,302.68 | $30,199.52 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $35,481.34 / $57,543.99
| Facility | | $21,877.62 | $35,481.34 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $251.19 / $22,908.68 / $30,199.52
| Facility | | $251.19 | $22,908.68 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $41,686.94 / $42,657.95
| Facility | | $33,113.11 | $41,686.94 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $38,018.94 / $51,286.14
| Facility | | $22,908.68 | $38,018.94 | $51,286.14 |