- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $39,810.72 / $40,738.03
| Facility | | $33,113.11 | $39,810.72 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $42,657.95 / $61,659.50
| Facility | | $24,547.09 | $42,657.95 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $34,673.69 / $61,659.50
| Facility | | $25,703.96 | $34,673.69 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $33,113.11 / $42,657.95
| Facility | | $28,840.32 | $33,113.11 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $38,904.51 / $64,565.42
| Facility | | $24,547.09 | $38,904.51 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $281.84 / $25,118.86 / $33,113.11
| Facility | | $281.84 | $25,118.86 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $45,708.82 / $46,773.51
| Facility | | $36,307.81 | $45,708.82 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $41,686.94 / $57,543.99
| Facility | | $24,547.09 | $41,686.94 | $57,543.99 |