- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $40,738.03 / $58,884.37
| Facility | | $23,442.29 | $40,738.03 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $46,773.51 / $66,069.34
| Facility | | $23,988.33 | $46,773.51 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $38,018.94 / $52,480.75
| Facility | | $21,877.62 | $38,018.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $43,651.58 / $53,703.18
| Facility | | $43,651.58 | $43,651.58 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $40,738.03 / $51,286.14
| Facility | | $18,197.01 | $40,738.03 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $69,183.10 / $91,201.08
| Facility | | $57,543.99 | $69,183.10 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $39,810.72 / $58,884.37
| Facility | | $22,387.21 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $19,054.61 / $25,118.86
| Facility | | $16,595.87 | $19,054.61 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $30,199.52 / $52,480.75
| Facility | | $5,370.32 | $30,199.52 | $52,480.75 |