- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,070.10 / $34,070.10 / $40,379.80
| Facility | | $34,070.10 | $34,070.10 | $40,379.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,966.86 / $38,995.36 / $58,334.68
| Facility | | $23,966.86 | $38,995.36 | $58,334.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,865.14 / $34,489.00 / $58,679.04
| Facility | | $27,865.14 | $34,489.00 | $58,679.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,930.46 / $40,000.98 / $65,475.84
| Facility | | $24,930.46 | $40,000.98 | $65,475.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $352.56 / $22,251.33 / $33,410.80
| Facility | | $352.56 | $22,251.33 | $33,410.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,369.64 / $39,519.26 / $46,445.05
| Facility | | $28,369.64 | $39,519.26 | $46,445.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,603.59 / $42,153.07 / $53,137.38
| Facility | | $25,603.59 | $42,153.07 | $53,137.38 |