- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,424.80 / $27,424.80 / $32,503.80
| Facility | | $27,424.80 | $27,424.80 | $32,503.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,036.31 / $32,600.15 / $48,767.84
| Facility | | $20,036.31 | $32,600.15 | $48,767.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,430.11 / $27,762.00 / $47,233.83
| Facility | | $22,430.11 | $27,762.00 | $47,233.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,067.83 / $32,198.88 / $52,704.93
| Facility | | $20,067.83 | $32,198.88 | $52,704.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.74 / $18,602.13 / $26,894.10
| Facility | | $294.74 | $18,602.13 | $26,894.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,836.21 / $31,811.13 / $37,386.05
| Facility | | $22,836.21 | $31,811.13 | $37,386.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,609.66 / $33,931.22 / $42,773.06
| Facility | | $20,609.66 | $33,931.22 | $42,773.06 |