- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,122.50 / $26,122.50 / $30,960.30
| Facility | | $26,122.50 | $26,122.50 | $30,960.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,248.11 / $29,690.65 / $44,415.41
| Facility | | $18,248.11 | $29,690.65 | $44,415.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,364.99 / $26,443.70 / $44,990.89
| Facility | | $21,364.99 | $26,443.70 | $44,990.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,114.89 / $30,669.89 / $50,202.19
| Facility | | $19,114.89 | $30,669.89 | $50,202.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $268.44 / $16,941.93 / $25,617.01
| Facility | | $268.44 | $16,941.93 | $25,617.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,751.81 / $30,300.55 / $35,610.74
| Facility | | $21,751.81 | $30,300.55 | $35,610.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,631.00 / $32,319.96 / $40,741.94
| Facility | | $19,631.00 | $32,319.96 | $40,741.94 |