- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $52,480.75 / $75,857.76
| Facility | | $29,512.09 | $52,480.75 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $60,255.96 / $87,096.36
| Facility | | $28,840.32 | $60,255.96 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $47,863.01 / $66,069.34
| Facility | | $27,542.29 | $47,863.01 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $56,234.13 / $67,608.30
| Facility | | $56,234.13 | $56,234.13 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $52,480.75 / $64,565.42
| Facility | | $23,988.33 | $52,480.75 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $47,863.01 / $77,624.71
| Facility | | $33,884.42 | $47,863.01 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $51,286.14 / $74,131.02
| Facility | | $28,840.32 | $51,286.14 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $24,547.09 / $40,738.03
| Facility | | $21,379.62 | $24,547.09 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $38,018.94 / $66,069.34
| Facility | | $5,370.32 | $38,018.94 | $66,069.34 |