- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,904.51 / $64,565.42
| Facility | | $25,703.96 | $38,904.51 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $30,902.95 / $51,286.14
| Facility | | $22,387.21 | $30,902.95 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $26,302.68 / $34,673.69
| Facility | | $19,952.62 | $26,302.68 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $48,977.88
| Facility | | $20,892.96 | $33,113.11 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $30,902.95 / $41,686.94
| Facility | | $22,908.68 | $30,902.95 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $34,673.69 / $48,977.88
| Facility | | $12,022.64 | $34,673.69 | $48,977.88 |