- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $36,307.81 / $52,480.75
| Facility | | $19,952.62 | $36,307.81 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $39,810.72 / $60,255.96
| Facility | | $21,379.62 | $39,810.72 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $35,481.34 / $45,708.82
| Facility | | $19,952.62 | $35,481.34 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $46,773.51
| Facility | | $38,018.94 | $38,018.94 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $36,307.81 / $45,708.82
| Facility | | $15,848.93 | $36,307.81 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $43,651.58 / $61,659.50
| Facility | | $25,118.86 | $43,651.58 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $33,884.42 / $51,286.14
| Facility | | $19,498.45 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $17,782.79 / $28,840.32
| Facility | | $15,135.61 | $17,782.79 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $26,915.35 / $45,708.82
| Facility | | $5,623.41 | $26,915.35 | $45,708.82 |