- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,307.50 / $26,307.50 / $31,179.60
| Facility | | $26,307.50 | $26,307.50 | $31,179.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,409.39 / $29,953.06 / $44,807.95
| Facility | | $18,409.39 | $29,953.06 | $44,807.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,516.27 / $26,630.94 / $45,309.46
| Facility | | $21,516.27 | $26,630.94 | $45,309.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,250.24 / $30,887.06 / $50,557.66
| Facility | | $19,250.24 | $30,887.06 | $50,557.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $270.81 / $17,091.66 / $25,798.40
| Facility | | $270.81 | $17,091.66 | $25,798.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,905.83 / $30,515.10 / $35,862.89
| Facility | | $21,905.83 | $30,515.10 | $35,862.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,770.00 / $32,548.81 / $41,030.43
| Facility | | $19,770.00 | $32,548.81 | $41,030.43 |