- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $57,543.99 / $95,499.26
| Facility | | $38,018.94 | $57,543.99 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $45,708.82 / $75,857.76
| Facility | | $33,113.11 | $45,708.82 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $38,904.51 / $50,118.72
| Facility | | $30,199.52 | $38,904.51 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $47,863.01 / $70,794.58
| Facility | | $30,199.52 | $47,863.01 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $44,668.36 / $61,659.50
| Facility | | $32,359.37 | $44,668.36 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $52,480.75 / $72,443.60
| Facility | | $17,782.79 | $52,480.75 | $72,443.60 |