- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,564.60 / $26,564.60 / $31,484.30
| Facility | | $26,564.60 | $26,564.60 | $31,484.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,323.99 / $33,068.22 / $49,468.04
| Facility | | $20,323.99 | $33,068.22 | $49,468.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,726.59 / $26,891.25 / $45,752.35
| Facility | | $21,726.59 | $26,891.25 | $45,752.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,438.41 / $31,188.97 / $51,051.85
| Facility | | $19,438.41 | $31,188.97 | $51,051.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $298.98 / $18,869.22 / $26,959.57
| Facility | | $298.98 | $18,869.22 | $26,959.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,119.95 / $30,813.38 / $36,213.44
| Facility | | $22,119.95 | $30,813.38 | $36,213.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,963.25 / $32,866.97 / $41,431.49
| Facility | | $19,963.25 | $32,866.97 | $41,431.49 |