- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $38,904.51 / $77,624.71
| Facility | | $33,113.11 | $38,904.51 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,884.42 / $51,286.14
| Facility | | $20,417.38 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $29,512.09 / $43,651.58
| Facility | | $24,547.09 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,183.83 / $38,018.94
| Facility | | $20,892.96 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,884.42 / $51,286.14
| Facility | | $24,547.09 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,183.83 / $36,307.81
| Facility | | $19,498.45 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $30,902.95 / $38,018.94
| Facility | | $23,988.33 | $30,902.95 | $38,018.94 |