- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,907.40 / $44,511.70 / $78,385.10
| Facility | | $27,907.40 | $44,511.70 | $78,385.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,864.44 / $42,431.87 / $62,097.37
| Facility | | $13,864.44 | $42,431.87 | $62,097.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,804.92 / $34,610.22 / $57,980.21
| Facility | | $25,804.92 | $34,610.22 | $57,980.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,960.65 / $29,974.40 / $38,790.40
| Facility | | $19,960.65 | $29,974.40 | $38,790.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,375.04 / $37,192.80 / $58,392.84
| Facility | | $8,375.04 | $37,192.80 | $58,392.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,505.37 / $41,329.19 / $56,189.30
| Facility | | $29,505.37 | $41,329.19 | $56,189.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,887.16 / $16,606.08 / $40,286.94
| Facility | | $11,887.16 | $16,606.08 | $40,286.94 |