- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $56,234.13 / $95,499.26
| Facility | | $38,018.94 | $56,234.13 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $40,738.03
| Facility | | $40,738.03 | $40,738.03 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $44,668.36 / $74,131.02
| Facility | | $33,113.11 | $44,668.36 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $38,904.51 / $50,118.72
| Facility | | $30,902.95 | $38,904.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $50,118.72 / $72,443.60
| Facility | | $30,902.95 | $50,118.72 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $46,773.51 / $63,095.73
| Facility | | $33,884.42 | $46,773.51 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $51,286.14 / $70,794.58
| Facility | | $17,782.79 | $51,286.14 | $70,794.58 |