- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $28,840.32 / $46,773.51
| Facility | | $20,417.38 | $28,840.32 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $33,113.11
| Facility | | $31,622.78 | $31,622.78 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $19,498.45 / $33,884.42
| Facility | | $9,772.37 | $19,498.45 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $26,915.35 / $53,703.18
| Facility | | $16,595.87 | $26,915.35 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $70,794.58 / $70,794.58
| Facility | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $28,183.83 / $46,773.51
| Facility | | $10,964.78 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $23,988.33 / $58,884.37
| Facility | | $16,982.44 | $23,988.33 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $22,387.21 / $50,118.72
| Facility | | $8,511.38 | $22,387.21 | $50,118.72 |