- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $38,018.94 / $39,810.72
| Facility | | $32,359.37 | $38,018.94 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $40,738.03 / $58,884.37
| Facility | | $23,442.29 | $40,738.03 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,884.42 / $60,255.96
| Facility | | $24,547.09 | $33,884.42 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $32,359.37 / $40,738.03
| Facility | | $28,183.83 | $32,359.37 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,018.94 / $61,659.50
| Facility | | $23,442.29 | $38,018.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $24,547.09 / $31,622.78
| Facility | | $269.15 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $43,651.58 / $45,708.82
| Facility | | $35,481.34 | $43,651.58 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $40,738.03 / $54,954.09
| Facility | | $23,442.29 | $40,738.03 | $54,954.09 |