- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $40,738.03 / $83,176.38
| Facility | | $35,481.34 | $40,738.03 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $36,307.81 / $51,286.14
| Facility | | $21,877.62 | $36,307.81 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $30,199.52 / $46,773.51
| Facility | | $25,118.86 | $30,199.52 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $25,118.86 / $33,113.11
| Facility | | $19,952.62 | $25,118.86 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,113.11 / $51,286.14
| Facility | | $24,547.09 | $33,113.11 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $28,183.83 / $37,153.52
| Facility | | $19,498.45 | $28,183.83 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $33,113.11 / $40,738.03
| Facility | | $25,703.96 | $33,113.11 | $40,738.03 |