- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,908.68 / $37,153.52
| Facility | | $16,218.10 | $22,908.68 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $24,547.09 / $29,512.09
| Facility | | $19,498.45 | $24,547.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $16,595.87 / $28,840.32
| Facility | | $8,317.64 | $16,595.87 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $23,442.29 / $43,651.58
| Facility | | $14,454.40 | $23,442.29 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $57,543.99 / $57,543.99
| Facility | | $57,543.99 | $57,543.99 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $21,877.62 / $37,153.52
| Facility | | $8,912.51 | $21,877.62 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $21,379.62 / $47,863.01
| Facility | | $14,454.40 | $21,379.62 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $19,498.45 / $43,651.58
| Facility | | $6,606.93 | $19,498.45 | $43,651.58 |