- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,861.19 / $39,861.19 / $47,243.40
| Facility | | $39,861.19 | $39,861.19 | $47,243.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,016.53 / $47,211.44 / $70,625.44
| Facility | | $29,016.53 | $47,211.44 | $70,625.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,601.57 / $40,351.33 / $68,653.13
| Facility | | $32,601.57 | $40,351.33 | $68,653.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,168.06 / $46,800.23 / $76,605.23
| Facility | | $29,168.06 | $46,800.23 | $76,605.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.85 / $26,939.55 / $39,089.87
| Facility | | $426.85 | $26,939.55 | $39,089.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,191.83 / $46,236.64 / $54,339.64
| Facility | | $33,191.83 | $46,236.64 | $54,339.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,824.40 / $48,953.13 / $62,169.52
| Facility | | $27,824.40 | $48,953.13 | $62,169.52 |