- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $23,988.33 / $38,904.51
| Facility | | $15,848.93 | $23,988.33 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $25,118.86 / $34,673.69
| Facility | | $22,908.68 | $25,118.86 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $17,378.01 / $29,512.09
| Facility | | $8,511.38 | $17,378.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $26,302.68 / $46,773.51
| Facility | | $14,791.08 | $26,302.68 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $60,255.96 / $60,255.96
| Facility | | $60,255.96 | $60,255.96 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $23,988.33 / $38,904.51
| Facility | | $9,332.54 | $23,988.33 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $21,877.62 / $50,118.72
| Facility | | $14,791.08 | $21,877.62 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $20,417.38 / $45,708.82
| Facility | | $6,918.31 | $20,417.38 | $45,708.82 |