- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,492.60 / $30,492.60 / $36,139.69
| Facility | | $30,492.60 | $30,492.60 | $36,139.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,296.00 / $34,649.73 / $51,833.89
| Facility | | $21,296.00 | $34,649.73 | $51,833.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,939.15 / $30,867.47 / $52,517.43
| Facility | | $24,939.15 | $30,867.47 | $52,517.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,312.63 / $35,800.67 / $58,600.53
| Facility | | $22,312.63 | $35,800.67 | $58,600.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $313.27 / $19,771.65 / $29,902.49
| Facility | | $313.27 | $19,771.65 | $29,902.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,390.68 / $35,369.54 / $41,568.07
| Facility | | $25,390.68 | $35,369.54 | $41,568.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,915.08 / $37,726.78 / $47,557.68
| Facility | | $22,915.08 | $37,726.78 | $47,557.68 |