- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,032.60 / $39,032.60 / $46,261.40
| Facility | | $39,032.60 | $39,032.60 | $46,261.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,820.04 / $45,264.69 / $67,713.21
| Facility | | $27,820.04 | $45,264.69 | $67,713.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,923.88 / $39,512.56 / $67,226.03
| Facility | | $31,923.88 | $39,512.56 | $67,226.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,561.75 / $45,827.39 / $75,012.84
| Facility | | $28,561.75 | $45,827.39 | $75,012.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $409.25 / $25,828.70 / $38,277.31
| Facility | | $409.25 | $25,828.70 | $38,277.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,501.87 / $45,275.52 / $53,210.09
| Facility | | $32,501.87 | $45,275.52 | $53,210.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,332.93 / $48,292.95 / $60,877.20
| Facility | | $29,332.93 | $48,292.95 | $60,877.20 |