- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $42,657.95 / $87,096.36
| Facility | | $36,307.81 | $42,657.95 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $37,153.52 / $54,954.09
| Facility | | $22,908.68 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $30,902.95 / $48,977.88
| Facility | | $26,915.35 | $30,902.95 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $26,915.35 / $34,673.69
| Facility | | $20,892.96 | $26,915.35 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $35,481.34 / $53,703.18
| Facility | | $26,302.68 | $35,481.34 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,840.32 / $36,307.81
| Facility | | $20,892.96 | $28,840.32 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $34,673.69 / $41,686.94
| Facility | | $26,915.35 | $34,673.69 | $41,686.94 |