- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,764.80 / $32,764.80 / $38,832.80
| Facility | | $32,764.80 | $32,764.80 | $38,832.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,508.44 / $39,876.54 / $59,652.87
| Facility | | $24,508.44 | $39,876.54 | $59,652.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,797.56 / $33,167.65 / $56,430.92
| Facility | | $26,797.56 | $33,167.65 | $56,430.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,975.32 / $38,468.46 / $62,967.32
| Facility | | $23,975.32 | $38,468.46 | $62,967.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $360.53 / $22,754.14 / $32,510.20
| Facility | | $360.53 | $22,754.14 | $32,510.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,282.74 / $38,005.19 / $44,665.64
| Facility | | $27,282.74 | $38,005.19 | $44,665.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,622.66 / $40,538.10 / $51,101.58
| Facility | | $24,622.66 | $40,538.10 | $51,101.58 |