- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $33,884.42 / $69,183.10
| Facility | | $28,840.32 | $33,884.42 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $29,512.09 / $43,651.58
| Facility | | $18,197.01 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $25,118.86 / $38,904.51
| Facility | | $20,892.96 | $25,118.86 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $19,054.61 / $25,118.86
| Facility | | $16,218.10 | $19,054.61 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $26,915.35 / $41,686.94
| Facility | | $20,892.96 | $26,915.35 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $22,387.21 / $28,840.32
| Facility | | $16,595.87 | $22,387.21 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $27,542.29 / $33,884.42
| Facility | | $21,379.62 | $27,542.29 | $33,884.42 |