- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $42,657.95 / $87,096.36
| Facility | | $37,153.52 | $42,657.95 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $38,018.94 / $56,234.13
| Facility | | $22,908.68 | $38,018.94 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $31,622.78 / $48,977.88
| Facility | | $25,703.96 | $31,622.78 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $23,988.33 / $30,902.95
| Facility | | $20,892.96 | $23,988.33 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $34,673.69 / $56,234.13
| Facility | | $26,915.35 | $34,673.69 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $29,512.09 / $39,810.72
| Facility | | $21,379.62 | $29,512.09 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $34,673.69 / $42,657.95
| Facility | | $26,915.35 | $34,673.69 | $42,657.95 |