- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $36,307.81 / $51,286.14
| Facility | | $20,417.38 | $36,307.81 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $42,657.95 / $64,565.42
| Facility | | $22,908.68 | $42,657.95 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $33,884.42 / $47,863.01
| Facility | | $19,952.62 | $33,884.42 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $38,904.51 / $46,773.51
| Facility | | $38,904.51 | $38,904.51 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $36,307.81 / $45,708.82
| Facility | | $16,218.10 | $36,307.81 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $43,651.58 / $64,565.42
| Facility | | $34,673.69 | $43,651.58 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $36,307.81 / $50,118.72
| Facility | | $19,952.62 | $36,307.81 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $19,952.62 / $33,113.11
| Facility | | $16,218.10 | $19,952.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $26,302.68 / $45,708.82
| Facility | | $5,370.32 | $26,302.68 | $45,708.82 |