- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $38,904.51 / $56,234.13
| Facility | | $21,877.62 | $38,904.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $41,686.94 / $61,659.50
| Facility | | $20,892.96 | $41,686.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $36,307.81 / $48,977.88
| Facility | | $20,417.38 | $36,307.81 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $41,686.94 / $50,118.72
| Facility | | $41,686.94 | $41,686.94 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $38,904.51 / $48,977.88
| Facility | | $17,378.01 | $38,904.51 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $64,565.42 / $87,096.36
| Facility | | $48,977.88 | $64,565.42 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $38,018.94 / $54,954.09
| Facility | | $21,379.62 | $38,018.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $19,498.45 / $31,622.78
| Facility | | $15,135.61 | $19,498.45 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $28,183.83 / $48,977.88
| Facility | | $5,370.32 | $28,183.83 | $48,977.88 |