- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $43,651.58 / $89,125.09
| Facility | | $25,703.96 | $43,651.58 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $36,307.81 / $58,884.37
| Facility | | $26,302.68 | $36,307.81 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $32,359.37 / $48,977.88
| Facility | | $19,952.62 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $30,199.52 / $38,904.51
| Facility | | $22,908.68 | $30,199.52 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $34,673.69 / $56,234.13
| Facility | | $27,542.29 | $34,673.69 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $39,810.72
| Facility | | $22,387.21 | $30,902.95 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $34,673.69 / $43,651.58
| Facility | | $25,118.86 | $34,673.69 | $43,651.58 |