- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,814.40 / $30,814.40 / $36,521.10
| Facility | | $30,814.40 | $30,814.40 | $36,521.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,292.73 / $34,644.42 / $51,825.94
| Facility | | $21,292.73 | $34,644.42 | $51,825.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,202.35 / $31,193.24 / $53,071.69
| Facility | | $25,202.35 | $31,193.24 | $53,071.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,548.11 / $36,178.50 / $59,218.99
| Facility | | $22,548.11 | $36,178.50 | $59,218.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,739.00 / $4,903.00 / $6,921.00
| Facility | | $1,739.00 | $4,903.00 | $6,921.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.23 / $19,768.62 / $30,218.08
| Facility | | $313.23 | $19,768.62 | $30,218.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,658.65 / $35,742.82 / $42,006.78
| Facility | | $25,658.65 | $35,742.82 | $42,006.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,156.92 / $38,124.94 / $48,059.59
| Facility | | $23,156.92 | $38,124.94 | $48,059.59 |