- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $36,307.81 / $38,018.94
| Facility | | $30,902.95 | $36,307.81 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $38,904.51 / $56,234.13
| Facility | | $22,387.21 | $38,904.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $32,359.37 / $57,543.99
| Facility | | $23,442.29 | $32,359.37 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $30,902.95 / $38,904.51
| Facility | | $26,915.35 | $30,902.95 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $36,307.81 / $58,884.37
| Facility | | $22,387.21 | $36,307.81 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $5,495.41 / $6,918.31
| Facility | | $4,897.79 | $5,495.41 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $23,442.29 / $30,199.52
| Facility | | $257.04 | $23,442.29 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $41,686.94 / $43,651.58
| Facility | | $33,884.42 | $41,686.94 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $38,904.51 / $52,480.75
| Facility | | $22,908.68 | $38,904.51 | $52,480.75 |