- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $35,481.34 / $72,443.60
| Facility | | $30,199.52 | $35,481.34 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $30,902.95 / $51,286.14
| Facility | | $19,054.61 | $30,902.95 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $26,915.35 / $40,738.03
| Facility | | $22,908.68 | $26,915.35 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $22,387.21 / $28,183.83
| Facility | | $19,498.45 | $22,387.21 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $30,902.95 / $50,118.72
| Facility | | $25,118.86 | $30,902.95 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $26,302.68 / $30,199.52
| Facility | | $19,952.62 | $26,302.68 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $28,840.32 / $35,481.34
| Facility | | $22,387.21 | $28,840.32 | $35,481.34 |