- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,539.10 / $29,539.10 / $35,009.69
| Facility | | $29,539.10 | $29,539.10 | $35,009.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,782.70 / $38,695.72 / $57,886.44
| Facility | | $23,782.70 | $38,695.72 | $57,886.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,159.38 / $29,902.34 / $50,875.37
| Facility | | $24,159.38 | $29,902.34 | $50,875.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,614.98 / $34,681.29 / $56,768.27
| Facility | | $21,614.98 | $34,681.29 | $56,768.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $349.85 / $22,080.35 / $31,547.51
| Facility | | $349.85 | $22,080.35 | $31,547.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,596.79 / $34,263.64 / $40,268.37
| Facility | | $24,596.79 | $34,263.64 | $40,268.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,198.59 / $36,547.18 / $46,070.69
| Facility | | $22,198.59 | $36,547.18 | $46,070.69 |