- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,103.00 / $29,103.00 / $34,492.90
| Facility | | $29,103.00 | $29,103.00 | $34,492.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,407.50 / $36,458.19 / $54,539.24
| Facility | | $22,407.50 | $36,458.19 | $54,539.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,802.70 / $29,460.88 / $50,124.27
| Facility | | $23,802.70 | $29,460.88 | $50,124.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,295.87 / $34,169.26 / $55,930.17
| Facility | | $21,295.87 | $34,169.26 | $55,930.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $329.62 / $20,803.59 / $29,723.32
| Facility | | $329.62 | $20,803.59 | $29,723.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,233.65 / $33,757.79 / $39,673.86
| Facility | | $24,233.65 | $33,757.79 | $39,673.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,314.84 / $35,741.12 / $45,390.53
| Facility | | $20,314.84 | $35,741.12 | $45,390.53 |