- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $45,708.82 / $93,325.43
| Facility | | $38,904.51 | $45,708.82 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $39,810.72 / $58,884.37
| Facility | | $24,547.09 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $33,113.11 / $51,286.14
| Facility | | $27,542.29 | $33,113.11 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $28,183.83 / $38,018.94
| Facility | | $22,908.68 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $38,018.94 / $58,884.37
| Facility | | $28,183.83 | $38,018.94 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $39,810.72
| Facility | | $22,387.21 | $30,902.95 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $37,153.52 / $44,668.36
| Facility | | $28,840.32 | $37,153.52 | $44,668.36 |