- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $30,902.95 / $32,359.37
| Facility | | $26,302.68 | $30,902.95 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,113.11 / $47,863.01
| Facility | | $19,054.61 | $33,113.11 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $27,542.29 / $48,977.88
| Facility | | $20,417.38 | $27,542.29 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $26,302.68 / $33,113.11
| Facility | | $22,908.68 | $26,302.68 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,902.95 / $50,118.72
| Facility | | $19,054.61 | $30,902.95 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $19,952.62 / $26,302.68
| Facility | | $218.78 | $19,952.62 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $36,307.81 / $37,153.52
| Facility | | $28,840.32 | $36,307.81 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $33,113.11 / $44,668.36
| Facility | | $19,952.62 | $33,113.11 | $44,668.36 |