- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,425.50 / $32,430.60 / $62,479.40
| Facility | | $23,425.50 | $32,430.60 | $62,479.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,732.13 / $31,110.42 / $45,461.98
| Facility | | $14,732.13 | $31,110.42 | $45,461.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,411.95 / $31,148.46 / $48,668.53
| Facility | | $24,411.95 | $31,148.46 | $48,668.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,134.38 / $26,352.15 / $32,532.87
| Facility | | $18,134.38 | $26,352.15 | $32,532.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,188.31 / $27,230.01 / $43,303.74
| Facility | | $9,188.31 | $27,230.01 | $43,303.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,880.98 / $30,785.51 / $42,129.35
| Facility | | $21,880.98 | $30,785.51 | $42,129.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,399.05 / $33,816.82 / $47,430.13
| Facility | | $12,399.05 | $33,816.82 | $47,430.13 |