- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $30,199.52 / $40,738.03
| Facility | | $23,988.33 | $30,199.52 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $33,113.11 / $54,954.09
| Facility | | $14,125.38 | $33,113.11 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $39,810.72 / $42,657.95
| Facility | | $32,359.37 | $39,810.72 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $38,018.94 / $53,703.18
| Facility | | $29,512.09 | $38,018.94 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $34,673.69 / $54,954.09
| Facility | | $10,715.19 | $34,673.69 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $32,359.37 / $48,977.88
| Facility | | $20,892.96 | $32,359.37 | $48,977.88 |