- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,080.50 / $30,080.50 / $35,651.30
| Facility | | $30,080.50 | $30,080.50 | $35,651.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,146.71 / $34,406.83 / $51,470.53
| Facility | | $21,146.71 | $34,406.83 | $51,470.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,602.15 / $30,450.37 / $51,807.77
| Facility | | $24,602.15 | $30,450.37 | $51,807.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,011.12 / $35,316.90 / $57,808.67
| Facility | | $22,011.12 | $35,316.90 | $57,808.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $311.08 / $19,633.05 / $29,498.42
| Facility | | $311.08 | $19,633.05 | $29,498.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,047.58 / $34,891.58 / $41,006.37
| Facility | | $25,047.58 | $34,891.58 | $41,006.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,605.43 / $37,216.98 / $46,915.04
| Facility | | $22,605.43 | $37,216.98 | $46,915.04 |