- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,993.20 / $26,993.20 / $31,992.30
| Facility | | $26,993.20 | $26,993.20 | $31,992.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,783.15 / $30,561.20 / $45,717.69
| Facility | | $18,783.15 | $30,561.20 | $45,717.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,077.12 / $27,325.11 / $46,490.50
| Facility | | $22,077.12 | $27,325.11 | $46,490.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,752.02 / $31,692.16 / $51,875.50
| Facility | | $19,752.02 | $31,692.16 | $51,875.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $276.31 / $17,438.66 / $26,470.87
| Facility | | $276.31 | $17,438.66 | $26,470.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,476.83 / $31,310.51 / $36,797.69
| Facility | | $22,476.83 | $31,310.51 | $36,797.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,285.33 / $33,397.23 / $42,099.93
| Facility | | $20,285.33 | $33,397.23 | $42,099.93 |