- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $40,738.03 / $58,884.37
| Facility | | $22,908.68 | $40,738.03 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $48,977.88 / $70,794.58
| Facility | | $21,877.62 | $48,977.88 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $37,153.52 / $51,286.14
| Facility | | $21,877.62 | $37,153.52 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $42,657.95 / $52,480.75
| Facility | | $42,657.95 | $42,657.95 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $40,738.03 / $50,118.72
| Facility | | $18,197.01 | $40,738.03 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $46,773.51 / $64,565.42
| Facility | | $30,199.52 | $46,773.51 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $39,810.72 / $57,543.99
| Facility | | $21,877.62 | $39,810.72 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $20,417.38 / $34,673.69
| Facility | | $17,378.01 | $20,417.38 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $29,512.09 / $51,286.14
| Facility | | $5,370.32 | $29,512.09 | $51,286.14 |