- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $36,307.81 / $61,659.50
| Facility | | $24,547.09 | $36,307.81 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $28,840.32 / $47,863.01
| Facility | | $20,892.96 | $28,840.32 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $22,387.21 / $28,183.83
| Facility | | $19,054.61 | $22,387.21 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,199.52 / $44,668.36
| Facility | | $19,054.61 | $30,199.52 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $28,840.32 / $38,904.51
| Facility | | $21,379.62 | $28,840.32 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $33,113.11 / $46,773.51
| Facility | | $11,220.18 | $33,113.11 | $46,773.51 |