- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,985.70 / $25,985.70 / $30,798.10
| Facility | | $25,985.70 | $25,985.70 | $30,798.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,320.38 / $31,435.29 / $47,025.27
| Facility | | $19,320.38 | $31,435.29 | $47,025.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,253.07 / $26,305.17 / $44,755.20
| Facility | | $21,253.07 | $26,305.17 | $44,755.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,014.75 / $30,509.22 / $49,939.20
| Facility | | $19,014.75 | $30,509.22 | $49,939.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $284.20 / $17,937.43 / $25,628.29
| Facility | | $284.20 | $17,937.43 | $25,628.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,637.86 / $30,141.82 / $35,424.19
| Facility | | $21,637.86 | $30,141.82 | $35,424.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,528.16 / $32,150.65 / $40,528.51
| Facility | | $19,528.16 | $32,150.65 | $40,528.51 |