- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,287.90 / $26,287.90 / $31,156.40
| Facility | | $26,287.90 | $26,287.90 | $31,156.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,447.87 / $31,642.73 / $47,335.59
| Facility | | $19,447.87 | $31,642.73 | $47,335.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,500.28 / $26,611.15 / $45,275.79
| Facility | | $21,500.28 | $26,611.15 | $45,275.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,235.93 / $30,864.10 / $50,520.09
| Facility | | $19,235.93 | $30,864.10 | $50,520.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $286.08 / $18,055.81 / $25,797.41
| Facility | | $286.08 | $18,055.81 | $25,797.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,889.55 / $30,492.42 / $35,836.24
| Facility | | $21,889.55 | $30,492.42 | $35,836.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,755.31 / $32,524.62 / $40,999.94
| Facility | | $19,755.31 | $32,524.62 | $40,999.94 |