- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,904.51 / $66,069.34
| Facility | | $23,988.33 | $38,904.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $31,622.78 / $51,286.14
| Facility | | $22,908.68 | $31,622.78 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $30,199.52 / $38,904.51
| Facility | | $21,379.62 | $30,199.52 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $50,118.72
| Facility | | $21,379.62 | $33,884.42 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,113.11 / $44,668.36
| Facility | | $23,988.33 | $33,113.11 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $35,481.34 / $45,708.82
| Facility | | $12,302.69 | $35,481.34 | $45,708.82 |