- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $35,481.34 / $50,118.72
| Facility | | $19,952.62 | $35,481.34 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $38,018.94 / $54,954.09
| Facility | | $20,892.96 | $38,018.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $31,622.78 / $47,863.01
| Facility | | $18,620.87 | $31,622.78 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $45,708.82
| Facility | | $37,153.52 | $37,153.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $35,481.34 / $42,657.95
| Facility | | $15,848.93 | $35,481.34 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $43,651.58 / $66,069.34
| Facility | | $38,018.94 | $43,651.58 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $34,673.69 / $47,863.01
| Facility | | $19,054.61 | $34,673.69 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $18,620.87 / $26,915.35
| Facility | | $16,218.10 | $18,620.87 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $25,118.86 / $44,668.36
| Facility | | $5,370.32 | $25,118.86 | $44,668.36 |