- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,211.30 / $29,211.30 / $34,621.19
| Facility | | $29,211.30 | $29,211.30 | $34,621.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,381.00 / $34,788.03 / $52,040.77
| Facility | | $21,381.00 | $34,788.03 | $52,040.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,891.25 / $29,570.48 / $50,310.75
| Facility | | $23,891.25 | $29,570.48 | $50,310.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,375.10 / $34,296.39 / $56,138.25
| Facility | | $21,375.10 | $34,296.39 | $56,138.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.52 / $19,850.57 / $28,646.05
| Facility | | $314.52 | $19,850.57 | $28,646.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,323.81 / $33,883.37 / $39,821.46
| Facility | | $24,323.81 | $33,883.37 | $39,821.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,952.23 / $36,141.57 / $45,559.40
| Facility | | $21,952.23 | $36,141.57 | $45,559.40 |