- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,023.30 / $27,023.30 / $32,027.90
| Facility | | $27,023.30 | $27,023.30 | $32,027.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,758.03 / $35,401.49 / $52,958.47
| Facility | | $21,758.03 | $35,401.49 | $52,958.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,101.72 / $27,355.55 / $46,542.30
| Facility | | $22,101.72 | $27,355.55 | $46,542.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,774.03 / $31,727.47 / $51,933.30
| Facility | | $19,774.03 | $31,727.47 | $51,933.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.07 / $20,200.61 / $28,861.82
| Facility | | $320.07 | $20,200.61 | $28,861.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,501.87 / $31,345.39 / $36,838.69
| Facility | | $22,501.87 | $31,345.39 | $36,838.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,863.11 / $33,187.00 / $42,146.84
| Facility | | $18,863.11 | $33,187.00 | $42,146.84 |