- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $29,512.09 / $50,118.72
| Facility | | $16,982.44 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $24,547.09 / $30,199.52
| Facility | | $20,417.38 | $24,547.09 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $22,908.68 / $35,481.34
| Facility | | $13,182.57 | $22,908.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $30,199.52 / $50,118.72
| Facility | | $15,848.93 | $30,199.52 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $25,703.96 / $50,118.72
| Facility | | $15,135.61 | $25,703.96 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $25,703.96 / $54,954.09
| Facility | | $15,848.93 | $25,703.96 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $25,118.86 / $58,884.37
| Facility | | $9,120.11 | $25,118.86 | $58,884.37 |