- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $32,359.37 / $66,069.34
| Facility | | $28,183.83 | $32,359.37 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $28,840.32 / $39,810.72
| Facility | | $17,378.01 | $28,840.32 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $24,547.09 / $37,153.52
| Facility | | $19,952.62 | $24,547.09 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $19,054.61 / $24,547.09
| Facility | | $15,135.61 | $19,054.61 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $25,703.96 / $38,904.51
| Facility | | $19,498.45 | $25,703.96 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,892.96 / $26,302.68
| Facility | | $15,135.61 | $20,892.96 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $26,302.68 / $32,359.37
| Facility | | $20,417.38 | $26,302.68 | $32,359.37 |