- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,981.40 / $36,981.40 / $43,830.30
| Facility | | $36,981.40 | $36,981.40 | $43,830.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,483.72 / $41,463.37 / $62,026.68
| Facility | | $25,483.72 | $41,463.37 | $62,026.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,246.27 / $37,436.16 / $63,693.28
| Facility | | $30,246.27 | $37,436.16 | $63,693.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,060.82 / $43,419.14 / $71,070.88
| Facility | | $27,060.82 | $43,419.14 | $71,070.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $374.88 / $23,659.62 / $36,265.82
| Facility | | $374.88 | $23,659.62 | $36,265.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,793.88 / $42,896.27 / $50,413.87
| Facility | | $30,793.88 | $42,896.27 | $50,413.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,791.47 / $45,755.14 / $57,678.08
| Facility | | $27,791.47 | $45,755.14 | $57,678.08 |