- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $33,113.11 / $66,069.34
| Facility | | $28,183.83 | $33,113.11 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,840.32 / $44,668.36
| Facility | | $17,782.79 | $28,840.32 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $24,547.09 / $38,018.94
| Facility | | $21,379.62 | $24,547.09 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $20,417.38 / $26,302.68
| Facility | | $16,982.44 | $20,417.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $28,840.32 / $43,651.58
| Facility | | $21,379.62 | $28,840.32 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $23,442.29 / $29,512.09
| Facility | | $16,982.44 | $23,442.29 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $26,915.35 / $32,359.37
| Facility | | $20,417.38 | $26,915.35 | $32,359.37 |