- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $43,651.58 / $87,096.36
| Facility | | $37,153.52 | $43,651.58 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,018.94 / $60,255.96
| Facility | | $23,442.29 | $38,018.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $33,113.11 / $48,977.88
| Facility | | $27,542.29 | $33,113.11 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $27,542.29 / $35,481.34
| Facility | | $22,387.21 | $27,542.29 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $37,153.52 / $57,543.99
| Facility | | $28,183.83 | $37,153.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $31,622.78 / $38,904.51
| Facility | | $22,387.21 | $31,622.78 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $35,481.34 / $42,657.95
| Facility | | $26,915.35 | $35,481.34 | $42,657.95 |