- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,366.30 / $31,366.30 / $37,175.19
| Facility | | $31,366.30 | $31,366.30 | $37,175.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,274.90 / $37,869.50 / $56,650.47
| Facility | | $23,274.90 | $37,869.50 | $56,650.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,653.73 / $31,751.92 / $54,022.22
| Facility | | $25,653.73 | $31,751.92 | $54,022.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,951.96 / $36,826.47 / $60,279.62
| Facility | | $22,951.96 | $36,826.47 | $60,279.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $342.38 / $21,608.90 / $30,873.92
| Facility | | $342.38 | $21,608.90 | $30,873.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,118.20 / $36,382.98 / $42,759.13
| Facility | | $26,118.20 | $36,382.98 | $42,759.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,571.67 / $38,807.76 / $48,920.35
| Facility | | $23,571.67 | $38,807.76 | $48,920.35 |