- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $42,657.95 / $87,096.36
| Facility | | $37,153.52 | $42,657.95 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $38,018.94 / $60,255.96
| Facility | | $22,908.68 | $38,018.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $32,359.37 / $48,977.88
| Facility | | $25,703.96 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $26,302.68 / $33,884.42
| Facility | | $21,877.62 | $26,302.68 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $35,481.34 / $57,543.99
| Facility | | $28,183.83 | $35,481.34 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $38,018.94
| Facility | | $22,387.21 | $30,902.95 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $34,673.69 / $42,657.95
| Facility | | $26,915.35 | $34,673.69 | $42,657.95 |