- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $31,622.78 / $33,113.11
| Facility | | $26,915.35 | $31,622.78 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $34,673.69 / $48,977.88
| Facility | | $19,952.62 | $34,673.69 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,183.83 / $50,118.72
| Facility | | $20,892.96 | $28,183.83 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $26,915.35 / $33,884.42
| Facility | | $23,442.29 | $26,915.35 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $31,622.78 / $51,286.14
| Facility | | $19,952.62 | $31,622.78 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229.09 / $20,417.38 / $26,915.35
| Facility | | $229.09 | $20,417.38 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $37,153.52 / $38,018.94
| Facility | | $29,512.09 | $37,153.52 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,884.42 / $45,708.82
| Facility | | $20,417.38 | $33,884.42 | $45,708.82 |