- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $50,118.72 / $51,286.14
| Facility | | $41,686.94 | $50,118.72 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $53,703.18 / $77,624.71
| Facility | | $30,902.95 | $53,703.18 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $43,651.58 / $79,432.82
| Facility | | $32,359.37 | $43,651.58 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $41,686.94 / $53,703.18
| Facility | | $36,307.81 | $41,686.94 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $48,977.88 / $81,283.05
| Facility | | $30,902.95 | $48,977.88 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $354.81 / $31,622.78 / $41,686.94
| Facility | | $354.81 | $31,622.78 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $57,543.99 / $60,255.96
| Facility | | $45,708.82 | $57,543.99 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $52,480.75 / $72,443.60
| Facility | | $31,622.78 | $52,480.75 | $72,443.60 |