- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $30,199.52 / $61,659.50
| Facility | | $25,703.96 | $30,199.52 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $26,302.68 / $39,810.72
| Facility | | $16,218.10 | $26,302.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $22,387.21 / $34,673.69
| Facility | | $18,620.87 | $22,387.21 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $18,197.01 / $23,442.29
| Facility | | $14,791.08 | $18,197.01 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $25,118.86 / $39,810.72
| Facility | | $19,054.61 | $25,118.86 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $21,379.62 / $28,183.83
| Facility | | $14,791.08 | $21,379.62 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $24,547.09 / $29,512.09
| Facility | | $19,054.61 | $24,547.09 | $29,512.09 |