- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $43,651.58 / $72,443.60
| Facility | | $28,840.32 | $43,651.58 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $34,673.69 / $57,543.99
| Facility | | $25,118.86 | $34,673.69 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $29,512.09 / $38,904.51
| Facility | | $23,988.33 | $29,512.09 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,018.94 / $56,234.13
| Facility | | $23,988.33 | $38,018.94 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $35,481.34 / $47,863.01
| Facility | | $25,703.96 | $35,481.34 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $38,904.51 / $54,954.09
| Facility | | $13,489.63 | $38,904.51 | $54,954.09 |