- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,047.40 / $30,047.40 / $35,612.10
| Facility | | $30,047.40 | $30,047.40 | $35,612.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,773.29 / $35,426.31 / $52,995.60
| Facility | | $21,773.29 | $35,426.31 | $52,995.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,575.09 / $30,416.88 / $51,750.79
| Facility | | $24,575.09 | $30,416.88 | $51,750.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,986.91 / $35,278.05 / $57,745.09
| Facility | | $21,986.91 | $35,278.05 | $57,745.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $320.30 / $20,214.78 / $29,465.98
| Facility | | $320.30 | $20,214.78 | $29,465.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,020.03 / $34,853.22 / $40,961.26
| Facility | | $25,020.03 | $34,853.22 | $40,961.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,580.57 / $37,176.05 / $46,863.44
| Facility | | $22,580.57 | $37,176.05 | $46,863.44 |