- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,829.40 / $31,829.40 / $37,724.19
| Facility | | $31,829.40 | $31,829.40 | $37,724.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,636.33 / $36,830.51 / $55,096.22
| Facility | | $22,636.33 | $36,830.51 | $55,096.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,032.55 / $32,220.79 / $54,819.94
| Facility | | $26,032.55 | $32,220.79 | $54,819.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,290.88 / $37,370.26 / $61,169.74
| Facility | | $23,290.88 | $37,370.26 | $61,169.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $332.99 / $21,016.04 / $31,213.50
| Facility | | $332.99 | $21,016.04 | $31,213.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,503.87 / $36,920.23 / $43,390.53
| Facility | | $26,503.87 | $36,920.23 | $43,390.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,919.74 / $39,380.82 / $49,642.74
| Facility | | $23,919.74 | $39,380.82 | $49,642.74 |