- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $34,673.69 / $61,659.50
| Facility | | $20,417.38 | $34,673.69 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $22,908.68 / $22,908.68
| Facility | | $22,908.68 | $22,908.68 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $24,547.09 / $43,651.58
| Facility | | $12,589.25 | $24,547.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $31,622.78 / $60,255.96
| Facility | | $19,054.61 | $31,622.78 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $112,201.85 / $112,201.85
| Facility | | $75,857.76 | $112,201.85 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $30,902.95 / $61,659.50
| Facility | | $16,595.87 | $30,902.95 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $67,608.30
| Facility | | $19,054.61 | $26,915.35 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $26,915.35 / $57,543.99
| Facility | | $9,120.11 | $26,915.35 | $57,543.99 |