- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,865.80 / $42,865.80 / $50,804.50
| Facility | | $42,865.80 | $42,865.80 | $50,804.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,734.24 / $51,633.30 / $77,240.28
| Facility | | $31,734.24 | $51,633.30 | $77,240.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,058.96 / $43,392.88 / $73,827.95
| Facility | | $35,058.96 | $43,392.88 | $73,827.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,366.65 / $50,327.86 / $82,379.45
| Facility | | $31,366.65 | $50,327.86 | $82,379.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.83 / $29,462.73 / $42,095.15
| Facility | | $466.83 | $29,462.73 | $42,095.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,693.69 / $49,721.78 / $58,435.56
| Facility | | $35,693.69 | $49,721.78 | $58,435.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,213.56 / $53,035.55 / $66,855.63
| Facility | | $32,213.56 | $53,035.55 | $66,855.63 |