- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $31,622.78 / $40,738.03
| Facility | | $26,915.35 | $31,622.78 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $29,512.09 / $42,657.95
| Facility | | $29,512.09 | $29,512.09 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $32,359.37 / $56,234.13
| Facility | | $13,803.84 | $32,359.37 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $38,018.94 / $51,286.14
| Facility | | $28,183.83 | $38,018.94 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $36,307.81 / $57,543.99
| Facility | | $17,378.01 | $36,307.81 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $32,359.37 / $47,863.01
| Facility | | $20,417.38 | $32,359.37 | $47,863.01 |