- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,243.00 / $33,243.00 / $39,399.50
| Facility | | $33,243.00 | $33,243.00 | $39,399.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,670.31 / $38,045.03 / $53,649.29
| Facility | | $23,670.31 | $38,045.03 | $53,649.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,188.68 / $33,651.74 / $57,254.54
| Facility | | $27,188.68 | $33,651.74 | $57,254.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,325.24 / $39,029.91 / $63,886.34
| Facility | | $24,325.24 | $39,029.91 | $63,886.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $343.97 / $21,709.06 / $32,599.72
| Facility | | $343.97 | $21,709.06 | $32,599.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,680.93 / $38,559.89 / $45,317.54
| Facility | | $27,680.93 | $38,559.89 | $45,317.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,982.03 / $41,129.76 / $51,847.41
| Facility | | $24,982.03 | $41,129.76 | $51,847.41 |