- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,298.60 / $30,298.60 / $35,909.80
| Facility | | $30,298.60 | $30,298.60 | $35,909.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,649.23 / $20,580.98 / $30,787.89
| Facility | | $12,649.23 | $20,580.98 | $30,787.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,780.49 / $30,671.10 / $52,183.32
| Facility | | $24,780.49 | $30,671.10 | $52,183.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,170.68 / $35,572.91 / $58,227.72
| Facility | | $22,170.68 | $35,572.91 | $58,227.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.08 / $11,743.81 / $19,488.08
| Facility | | $186.08 | $11,743.81 | $19,488.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,229.14 / $35,144.51 / $41,303.62
| Facility | | $25,229.14 | $35,144.51 | $41,303.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,769.30 / $37,486.76 / $47,255.12
| Facility | | $22,769.30 | $37,486.76 | $47,255.12 |