- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $38,018.94 / $53,703.18
| Facility | | $21,379.62 | $38,018.94 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $39,810.72 / $61,659.50
| Facility | | $20,892.96 | $39,810.72 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $34,673.69 / $48,977.88
| Facility | | $19,952.62 | $34,673.69 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $48,977.88
| Facility | | $40,738.03 | $40,738.03 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $38,018.94 / $47,863.01
| Facility | | $6,606.93 | $38,018.94 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $43,651.58 / $57,543.99
| Facility | | $29,512.09 | $43,651.58 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $35,481.34 / $51,286.14
| Facility | | $20,417.38 | $35,481.34 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $18,197.01 / $23,442.29
| Facility | | $15,848.93 | $18,197.01 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $27,542.29 / $47,863.01
| Facility | | $5,370.32 | $27,542.29 | $47,863.01 |