- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,142.30 / $35,142.30 / $41,650.60
| Facility | | $35,142.30 | $35,142.30 | $41,650.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,007.92 / $37,435.12 / $56,000.66
| Facility | | $23,007.92 | $37,435.12 | $56,000.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,742.07 / $35,574.40 / $60,525.71
| Facility | | $28,742.07 | $35,574.40 | $60,525.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,715.04 / $41,259.83 / $67,536.41
| Facility | | $25,715.04 | $41,259.83 | $67,536.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $338.46 / $21,361.03 / $33,845.74
| Facility | | $338.46 | $21,361.03 | $33,845.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,262.45 / $40,762.97 / $47,906.71
| Facility | | $29,262.45 | $40,762.97 | $47,906.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,409.35 / $43,479.66 / $54,809.65
| Facility | | $26,409.35 | $43,479.66 | $54,809.65 |