- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,214.30 / $27,214.30 / $32,254.30
| Facility | | $27,214.30 | $27,214.30 | $32,254.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,839.82 / $30,653.39 / $45,855.61
| Facility | | $18,839.82 | $30,653.39 | $45,855.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,257.92 / $27,548.88 / $46,871.23
| Facility | | $22,257.92 | $27,548.88 | $46,871.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,913.78 / $31,951.70 / $52,300.33
| Facility | | $19,913.78 | $31,951.70 | $52,300.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $277.14 / $17,491.28 / $26,687.65
| Facility | | $277.14 | $17,491.28 | $26,687.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,660.90 / $31,566.92 / $37,099.05
| Facility | | $22,660.90 | $31,566.92 | $37,099.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,451.46 / $33,670.74 / $42,444.70
| Facility | | $20,451.46 | $33,670.74 | $42,444.70 |