- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,972.20 / $28,972.20 / $34,337.80
| Facility | | $28,972.20 | $28,972.20 | $34,337.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,082.82 / $31,048.77 / $46,447.07
| Facility | | $19,082.82 | $31,048.77 | $46,447.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,695.70 / $29,328.44 / $49,898.94
| Facility | | $23,695.70 | $29,328.44 | $49,898.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,200.13 / $34,015.66 / $55,678.74
| Facility | | $21,200.13 | $34,015.66 | $55,678.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $280.72 / $17,716.89 / $28,071.74
| Facility | | $280.72 | $17,716.89 | $28,071.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,124.71 / $33,606.03 / $39,495.51
| Facility | | $24,124.71 | $33,606.03 | $39,495.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,772.55 / $35,845.74 / $45,186.48
| Facility | | $21,772.55 | $35,845.74 | $45,186.48 |