- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,994.90 / $34,994.90 / $41,475.90
| Facility | | $34,994.90 | $34,994.90 | $41,475.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,486.64 / $39,841.08 / $59,599.83
| Facility | | $24,486.64 | $39,841.08 | $59,599.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,621.54 / $35,425.21 / $60,271.89
| Facility | | $28,621.54 | $35,425.21 | $60,271.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,607.20 / $41,086.81 / $67,253.19
| Facility | | $25,607.20 | $41,086.81 | $67,253.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $360.21 / $22,733.91 / $34,317.74
| Facility | | $360.21 | $22,733.91 | $34,317.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,139.74 / $40,592.01 / $47,705.81
| Facility | | $29,139.74 | $40,592.01 | $47,705.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,298.60 / $43,297.32 / $54,579.80
| Facility | | $26,298.60 | $43,297.32 | $54,579.80 |