- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,044.40 / $28,044.40 / $33,238.10
| Facility | | $28,044.40 | $28,044.40 | $33,238.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,228.09 / $32,912.19 / $49,234.64
| Facility | | $20,228.09 | $32,912.19 | $49,234.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,936.83 / $28,389.19 / $48,300.91
| Facility | | $22,936.83 | $28,389.19 | $48,300.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,521.18 / $32,926.30 / $53,895.61
| Facility | | $20,521.18 | $32,926.30 | $53,895.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $297.56 / $18,780.18 / $27,501.68
| Facility | | $297.56 | $18,780.18 | $27,501.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,352.11 / $32,529.79 / $38,230.66
| Facility | | $23,352.11 | $32,529.79 | $38,230.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,075.27 / $34,697.76 / $43,739.36
| Facility | | $21,075.27 | $34,697.76 | $43,739.36 |