- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $40,738.03 / $69,183.10
| Facility | | $31,622.78 | $40,738.03 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $56,234.13
| Facility | | $23,988.33 | $23,988.33 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $33,113.11 / $64,565.42
| Facility | | $10,964.78 | $33,113.11 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $151,356.12
| Facility | | $30,199.52 | $30,199.52 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $38,018.94 / $66,069.34
| Facility | | $28,840.32 | $38,018.94 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $39,810.72 / $81,283.05
| Facility | | $19,054.61 | $39,810.72 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $36,307.81 / $69,183.10
| Facility | | $19,054.61 | $36,307.81 | $69,183.10 |