- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $29,512.09 / $42,657.95
| Facility | | $16,982.44 | $29,512.09 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $28,183.83 / $46,773.51
| Facility | | $15,848.93 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $27,542.29 / $40,738.03
| Facility | | $15,135.61 | $27,542.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $38,904.51
| Facility | | $31,622.78 | $31,622.78 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $30,199.52 / $38,018.94
| Facility | | $13,182.57 | $30,199.52 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $35,481.34 / $57,543.99
| Facility | | $12,589.25 | $35,481.34 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $27,542.29 / $40,738.03
| Facility | | $16,218.10 | $27,542.29 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $19,498.45 / $30,199.52
| Facility | | $14,454.40 | $19,498.45 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $21,877.62 / $38,018.94
| Facility | | $5,370.32 | $21,877.62 | $38,018.94 |