- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $32,359.37 / $64,565.42
| Facility | | $27,542.29 | $32,359.37 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,183.83 / $41,686.94
| Facility | | $17,378.01 | $28,183.83 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $23,988.33 / $37,153.52
| Facility | | $19,952.62 | $23,988.33 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $19,498.45 / $25,118.86
| Facility | | $16,218.10 | $19,498.45 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $25,703.96 / $40,738.03
| Facility | | $19,952.62 | $25,703.96 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,877.62 / $28,183.83
| Facility | | $15,848.93 | $21,877.62 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $26,302.68 / $31,622.78
| Facility | | $19,952.62 | $26,302.68 | $31,622.78 |