- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,519.50 / $27,519.50 / $32,616.10
| Facility | | $27,519.50 | $27,519.50 | $32,616.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,920.80 / $32,412.21 / $48,486.69
| Facility | | $19,920.80 | $32,412.21 | $48,486.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,507.59 / $27,857.91 / $47,397.00
| Facility | | $22,507.59 | $27,857.91 | $47,397.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,137.16 / $32,310.11 / $52,887.00
| Facility | | $20,137.16 | $32,310.11 | $52,887.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $293.04 / $18,494.89 / $26,987.01
| Facility | | $293.04 | $18,494.89 | $26,987.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,915.10 / $31,921.02 / $37,515.19
| Facility | | $22,915.10 | $31,921.02 | $37,515.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,680.87 / $34,048.43 / $42,920.82
| Facility | | $20,680.87 | $34,048.43 | $42,920.82 |