- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $40,738.03 / $41,686.94
| Facility | | $33,884.42 | $40,738.03 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $43,651.58 / $63,095.73
| Facility | | $25,118.86 | $43,651.58 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $35,481.34 / $63,095.73
| Facility | | $26,302.68 | $35,481.34 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $33,884.42 / $43,651.58
| Facility | | $29,512.09 | $33,884.42 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $39,810.72 / $66,069.34
| Facility | | $25,118.86 | $39,810.72 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $288.40 / $25,703.96 / $33,884.42
| Facility | | $288.40 | $25,703.96 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $46,773.51 / $47,863.01
| Facility | | $37,153.52 | $46,773.51 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $42,657.95 / $58,884.37
| Facility | | $25,703.96 | $42,657.95 | $58,884.37 |