- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,978.30 / $30,978.30 / $36,715.40
| Facility | | $30,978.30 | $30,978.30 | $36,715.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,228.48 / $38,942.17 / $54,914.39
| Facility | | $24,228.48 | $38,942.17 | $54,914.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,336.41 / $31,359.17 / $53,354.00
| Facility | | $25,336.41 | $31,359.17 | $53,354.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,668.05 / $36,370.94 / $59,534.00
| Facility | | $22,668.05 | $36,370.94 | $59,534.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $352.08 / $22,220.98 / $31,748.43
| Facility | | $352.08 | $22,220.98 | $31,748.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,795.13 / $35,932.94 / $42,230.23
| Facility | | $25,795.13 | $35,932.94 | $42,230.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,280.10 / $38,327.74 / $48,315.24
| Facility | | $23,280.10 | $38,327.74 | $48,315.24 |