- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,987.30 / $30,987.30 / $36,726.10
| Facility | | $30,987.30 | $30,987.30 | $36,726.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,776.56 / $35,431.62 / $53,003.56
| Facility | | $21,776.56 | $35,431.62 | $53,003.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,343.79 / $31,368.31 / $53,369.54
| Facility | | $25,343.79 | $31,368.31 | $53,369.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,674.66 / $36,381.54 / $59,551.34
| Facility | | $22,674.66 | $36,381.54 | $59,551.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.33 / $20,217.81 / $30,387.67
| Facility | | $320.33 | $20,217.81 | $30,387.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,802.65 / $35,943.42 / $42,242.53
| Facility | | $25,802.65 | $35,943.42 | $42,242.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,286.88 / $38,338.91 / $48,329.31
| Facility | | $23,286.88 | $38,338.91 | $48,329.31 |