- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,790.30 / $28,790.30 / $34,122.10
| Facility | | $28,790.30 | $28,790.30 | $34,122.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,678.14 / $33,644.44 / $50,330.04
| Facility | | $20,678.14 | $33,644.44 | $50,330.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,546.88 / $29,144.24 / $49,585.55
| Facility | | $23,546.88 | $29,144.24 | $49,585.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,066.99 / $33,802.03 / $55,329.05
| Facility | | $21,066.99 | $33,802.03 | $55,329.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $304.19 / $19,198.02 / $28,233.13
| Facility | | $304.19 | $19,198.02 | $28,233.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,973.20 / $33,394.97 / $39,247.46
| Facility | | $23,973.20 | $33,394.97 | $39,247.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,635.80 / $35,620.61 / $44,902.68
| Facility | | $21,635.80 | $35,620.61 | $44,902.68 |