- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,477.50 / $31,477.50 / $37,307.10
| Facility | | $31,477.50 | $31,477.50 | $37,307.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,366.43 / $38,018.43 / $56,873.26
| Facility | | $23,366.43 | $38,018.43 | $56,873.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,744.75 / $31,864.57 / $54,213.88
| Facility | | $25,744.75 | $31,864.57 | $54,213.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,033.38 / $36,957.12 / $60,493.48
| Facility | | $23,033.38 | $36,957.12 | $60,493.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $343.73 / $21,693.88 / $30,995.34
| Facility | | $343.73 | $21,693.88 | $30,995.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,210.86 / $36,512.06 / $42,910.83
| Facility | | $26,210.86 | $36,512.06 | $42,910.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,972.32 / $38,657.22 / $49,093.91
| Facility | | $21,972.32 | $38,657.22 | $49,093.91 |