- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $41,686.94 / $83,176.38
| Facility | | $25,703.96 | $41,686.94 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $36,307.81 / $53,703.18
| Facility | | $25,118.86 | $36,307.81 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $30,199.52 / $46,773.51
| Facility | | $19,952.62 | $30,199.52 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $26,302.68 / $35,481.34
| Facility | | $21,379.62 | $26,302.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $31,622.78 / $51,286.14
| Facility | | $25,118.86 | $31,622.78 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $28,840.32 / $37,153.52
| Facility | | $20,417.38 | $28,840.32 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $32,359.37 / $40,738.03
| Facility | | $25,118.86 | $32,359.37 | $40,738.03 |