- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $35,481.34 / $70,794.58
| Facility | | $30,199.52 | $35,481.34 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,902.95 / $47,863.01
| Facility | | $19,054.61 | $30,902.95 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $26,302.68 / $39,810.72
| Facility | | $22,387.21 | $26,302.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $22,387.21 / $28,183.83
| Facility | | $18,197.01 | $22,387.21 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $30,902.95 / $45,708.82
| Facility | | $22,908.68 | $30,902.95 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,118.86 / $32,359.37
| Facility | | $18,197.01 | $25,118.86 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $28,840.32 / $34,673.69
| Facility | | $21,877.62 | $28,840.32 | $34,673.69 |