- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,036.90 / $29,036.90 / $34,414.40
| Facility | | $29,036.90 | $29,036.90 | $34,414.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,953.09 / $35,718.85 / $53,433.23
| Facility | | $21,953.09 | $35,718.85 | $53,433.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,748.58 / $29,393.90 / $50,010.31
| Facility | | $23,748.58 | $29,393.90 | $50,010.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,247.45 / $34,091.58 / $55,803.01
| Facility | | $21,247.45 | $34,091.58 | $55,803.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $322.94 / $20,381.71 / $29,120.56
| Facility | | $322.94 | $20,381.71 | $29,120.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,178.56 / $33,681.04 / $39,583.66
| Facility | | $24,178.56 | $33,681.04 | $39,583.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,821.14 / $35,925.75 / $45,287.33
| Facility | | $21,821.14 | $35,925.75 | $45,287.33 |