- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,125.60 / $28,125.60 / $33,334.40
| Facility | | $28,125.60 | $28,125.60 | $33,334.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,048.64 / $34,247.26 / $51,231.82
| Facility | | $21,048.64 | $34,247.26 | $51,231.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,003.25 / $28,471.39 / $48,440.77
| Facility | | $23,003.25 | $28,471.39 | $48,440.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,580.61 / $33,021.64 / $54,051.67
| Facility | | $20,580.61 | $33,021.64 | $54,051.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.64 / $19,542.00 / $27,920.81
| Facility | | $309.64 | $19,542.00 | $27,920.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,419.73 / $32,623.98 / $38,341.36
| Facility | | $23,419.73 | $32,623.98 | $38,341.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,136.30 / $34,798.24 / $43,866.02
| Facility | | $21,136.30 | $34,798.24 | $43,866.02 |