- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,168.90 / $32,373.20 / $42,549.50
| Facility | | $22,168.90 | $32,373.20 | $42,549.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,732.47 / $22,996.48 / $24,285.32
| Facility | | $22,732.47 | $22,996.48 | $24,285.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,960.91 / $56,530.06 / $95,612.98
| Facility | | $20,960.91 | $56,530.06 | $95,612.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,333.81 / $32,666.94 / $58,268.59
| Facility | | $23,333.81 | $32,666.94 | $58,268.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,885.48 / $36,289.49 / $52,985.62
| Facility | | $27,885.48 | $36,289.49 | $52,985.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,885.48 / $33,735.92 / $52,985.62
| Facility | | $27,885.48 | $33,735.92 | $52,985.62 |