- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $38,018.94 / $50,118.72
| Facility | | $23,442.29 | $38,018.94 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $53,703.18 / $66,069.34
| Facility | | $37,153.52 | $53,703.18 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $36,307.81 / $47,863.01
| Facility | | $23,988.33 | $36,307.81 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $52,480.75
| Facility | | $20,892.96 | $33,113.11 | $52,480.75 |