- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,644.50 / $33,644.50 / $39,875.40
| Facility | | $33,644.50 | $33,644.50 | $39,875.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,608.69 / $40,039.65 / $59,896.89
| Facility | | $24,608.69 | $40,039.65 | $59,896.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,517.07 / $34,058.19 / $57,946.07
| Facility | | $27,517.07 | $34,058.19 | $57,946.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,619.05 / $39,501.32 / $64,657.97
| Facility | | $24,619.05 | $39,501.32 | $64,657.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $362.01 / $22,847.22 / $32,993.46
| Facility | | $362.01 | $22,847.22 | $32,993.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,015.27 / $39,025.62 / $45,864.90
| Facility | | $28,015.27 | $39,025.62 | $45,864.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,283.77 / $41,626.53 / $52,473.63
| Facility | | $25,283.77 | $41,626.53 | $52,473.63 |