- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $35,481.34 / $51,286.14
| Facility | | $23,442.29 | $35,481.34 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $42,657.95
| Facility | | $19,054.61 | $28,183.83 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $34,673.69 / $51,286.14
| Facility | | $21,379.62 | $34,673.69 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $29,512.09 / $47,863.01
| Facility | | $18,620.87 | $29,512.09 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $21,379.62 / $36,307.81
| Facility | | $13,803.84 | $21,379.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $33,113.11 / $50,118.72
| Facility | | $10,471.29 | $33,113.11 | $50,118.72 |