- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,167.90 / $35,167.90 / $41,680.90
| Facility | | $35,167.90 | $35,167.90 | $41,680.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,154.63 / $40,927.93 / $61,225.69
| Facility | | $25,154.63 | $40,927.93 | $61,225.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,762.98 / $35,600.26 / $60,569.74
| Facility | | $28,762.98 | $35,600.26 | $60,569.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,733.74 / $41,289.85 / $67,585.53
| Facility | | $25,733.74 | $41,289.85 | $67,585.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $370.04 / $23,354.08 / $34,487.33
| Facility | | $370.04 | $23,354.08 | $34,487.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,283.74 / $40,792.62 / $47,941.56
| Facility | | $29,283.74 | $40,792.62 | $47,941.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,428.57 / $43,511.29 / $54,849.52
| Facility | | $26,428.57 | $43,511.29 | $54,849.52 |