- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $50,118.72 / $102,329.30
| Facility | | $42,657.95 | $50,118.72 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $43,651.58 / $63,095.73
| Facility | | $26,915.35 | $43,651.58 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $37,153.52 / $56,234.13
| Facility | | $31,622.78 | $37,153.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $31,622.78 / $40,738.03
| Facility | | $26,302.68 | $31,622.78 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $42,657.95 / $63,095.73
| Facility | | $30,199.52 | $42,657.95 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $34,673.69 / $45,708.82
| Facility | | $23,988.33 | $34,673.69 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $40,738.03 / $48,977.88
| Facility | | $31,622.78 | $40,738.03 | $48,977.88 |