- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $47,863.01 / $95,499.26
| Facility | | $40,738.03 | $47,863.01 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $41,686.94 / $60,255.96
| Facility | | $25,118.86 | $41,686.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $34,673.69 / $53,703.18
| Facility | | $28,183.83 | $34,673.69 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $26,302.68 / $33,884.42
| Facility | | $21,877.62 | $26,302.68 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $36,307.81 / $57,543.99
| Facility | | $28,183.83 | $36,307.81 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $30,902.95 / $37,153.52
| Facility | | $22,908.68 | $30,902.95 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $38,018.94 / $46,773.51
| Facility | | $29,512.09 | $38,018.94 | $46,773.51 |