- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $48,977.88 / $58,884.37
| Facility | | $25,703.96 | $48,977.88 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $34,673.69 / $44,668.36
| Facility | | $30,902.95 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $26,302.68 / $44,668.36
| Facility | | $13,182.57 | $26,302.68 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $40,738.03 / $70,794.58
| Facility | | $22,908.68 | $40,738.03 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $91,201.08 / $91,201.08
| Facility | | $91,201.08 | $91,201.08 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $35,481.34 / $58,884.37
| Facility | | $13,803.84 | $35,481.34 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,113.11 / $75,857.76
| Facility | | $22,908.68 | $33,113.11 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $30,902.95 / $69,183.10
| Facility | | $7,079.46 | $30,902.95 | $69,183.10 |