- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,336.20 / $31,336.20 / $37,139.60
| Facility | | $31,336.20 | $31,336.20 | $37,139.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,819.80 / $33,874.93 / $50,674.84
| Facility | | $20,819.80 | $33,874.93 | $50,674.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,629.14 / $31,721.48 / $53,970.42
| Facility | | $25,629.14 | $31,721.48 | $53,970.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,929.95 / $36,791.16 / $60,221.82
| Facility | | $22,929.95 | $36,791.16 | $60,221.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $306.27 / $19,329.54 / $30,626.92
| Facility | | $306.27 | $19,329.54 | $30,626.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,093.16 / $36,348.10 / $42,718.13
| Facility | | $26,093.16 | $36,348.10 | $42,718.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,549.07 / $38,770.56 / $48,873.45
| Facility | | $23,549.07 | $38,770.56 | $48,873.45 |