- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $51,286.14 / $104,712.85
| Facility | | $43,651.58 | $51,286.14 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $44,668.36 / $64,565.42
| Facility | | $27,542.29 | $44,668.36 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $37,153.52 / $57,543.99
| Facility | | $30,199.52 | $37,153.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $30,199.52 / $38,904.51
| Facility | | $24,547.09 | $30,199.52 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $39,810.72 / $61,659.50
| Facility | | $30,902.95 | $39,810.72 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $33,884.42 / $42,657.95
| Facility | | $24,547.09 | $33,884.42 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $41,686.94 / $50,118.72
| Facility | | $32,359.37 | $41,686.94 | $50,118.72 |