- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $41,686.94 / $42,657.95
| Facility | | $34,673.69 | $41,686.94 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $44,668.36 / $64,565.42
| Facility | | $25,703.96 | $44,668.36 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $36,307.81 / $66,069.34
| Facility | | $26,915.35 | $36,307.81 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $34,673.69 / $44,668.36
| Facility | | $30,199.52 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $40,738.03 / $67,608.30
| Facility | | $25,703.96 | $40,738.03 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $26,302.68 / $34,673.69
| Facility | | $295.12 | $26,302.68 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $47,863.01 / $50,118.72
| Facility | | $38,018.94 | $47,863.01 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $43,651.58 / $60,255.96
| Facility | | $26,302.68 | $43,651.58 | $60,255.96 |