- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $45,708.82 / $46,773.51
| Facility | | $38,018.94 | $45,708.82 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $48,977.88 / $69,183.10
| Facility | | $28,183.83 | $48,977.88 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $39,810.72 / $70,794.58
| Facility | | $29,512.09 | $39,810.72 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $38,018.94 / $48,977.88
| Facility | | $33,113.11 | $38,018.94 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $44,668.36 / $74,131.02
| Facility | | $28,183.83 | $44,668.36 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $323.59 / $28,840.32 / $38,018.94
| Facility | | $323.59 | $28,840.32 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $52,480.75 / $53,703.18
| Facility | | $41,686.94 | $52,480.75 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $47,863.01 / $66,069.34
| Facility | | $28,840.32 | $47,863.01 | $66,069.34 |