- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $44,668.36 / $89,125.09
| Facility | | $38,018.94 | $44,668.36 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,904.51 / $58,884.37
| Facility | | $23,988.33 | $38,904.51 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $33,113.11 / $50,118.72
| Facility | | $27,542.29 | $33,113.11 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $28,183.83 / $36,307.81
| Facility | | $22,908.68 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $37,153.52 / $57,543.99
| Facility | | $28,183.83 | $37,153.52 | $57,543.99 |
- 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
- $27,542.29 / $36,307.81 / $43,651.58
| Facility | | $27,542.29 | $36,307.81 | $43,651.58 |