- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,591.70 / $27,591.70 / $32,701.60
| Facility | | $27,591.70 | $27,591.70 | $32,701.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,905.54 / $32,387.39 / $48,449.56
| Facility | | $19,905.54 | $32,387.39 | $48,449.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,566.63 / $27,930.98 / $47,521.32
| Facility | | $22,566.63 | $27,930.98 | $47,521.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,189.97 / $32,394.86 / $53,025.72
| Facility | | $20,189.97 | $32,394.86 | $53,025.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $292.82 / $18,480.72 / $27,057.80
| Facility | | $292.82 | $18,480.72 | $27,057.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,975.20 / $32,004.75 / $37,613.60
| Facility | | $22,975.20 | $32,004.75 | $37,613.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,735.11 / $34,137.74 / $43,033.40
| Facility | | $20,735.11 | $34,137.74 | $43,033.40 |