- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,202.40 / $33,202.40 / $39,351.40
| Facility | | $33,202.40 | $33,202.40 | $39,351.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,957.39 / $40,607.01 / $60,745.62
| Facility | | $24,957.39 | $40,607.01 | $60,745.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,155.47 / $33,610.64 / $57,184.61
| Facility | | $27,155.47 | $33,610.64 | $57,184.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,295.53 / $38,982.24 / $63,808.31
| Facility | | $24,295.53 | $38,982.24 | $63,808.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $367.14 / $23,170.97 / $33,105.74
| Facility | | $367.14 | $23,170.97 | $33,105.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,647.13 / $38,512.80 / $45,262.19
| Facility | | $27,647.13 | $38,512.80 | $45,262.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,951.52 / $41,079.53 / $51,784.09
| Facility | | $24,951.52 | $41,079.53 | $51,784.09 |