- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,018.94 / $56,234.13
| Facility | | $25,703.96 | $38,018.94 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,113.11 / $50,118.72
| Facility | | $21,379.62 | $33,113.11 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,904.51 / $57,543.99
| Facility | | $23,988.33 | $38,904.51 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $37,153.52 / $56,234.13
| Facility | | $23,442.29 | $37,153.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $23,988.33 / $40,738.03
| Facility | | $15,135.61 | $23,988.33 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $38,904.51 / $54,954.09
| Facility | | $10,471.29 | $38,904.51 | $54,954.09 |