- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,960.30 / $32,960.30 / $39,064.50
| Facility | | $32,960.30 | $32,960.30 | $39,064.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,834.26 / $40,406.67 / $60,445.91
| Facility | | $24,834.26 | $40,406.67 | $60,445.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,957.45 / $33,365.55 / $56,767.62
| Facility | | $26,957.45 | $33,365.55 | $56,767.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,118.37 / $38,697.98 / $63,343.02
| Facility | | $24,118.37 | $38,697.98 | $63,343.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $365.32 / $23,056.64 / $32,942.40
| Facility | | $365.32 | $23,056.64 | $32,942.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,445.52 / $38,231.96 / $44,932.14
| Facility | | $27,445.52 | $38,231.96 | $44,932.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,769.58 / $40,779.97 / $51,406.48
| Facility | | $24,769.58 | $40,779.97 | $51,406.48 |