- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $38,018.94 / $54,954.09
| Facility | | $21,877.62 | $38,018.94 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $42,657.95 / $61,659.50
| Facility | | $20,892.96 | $42,657.95 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $35,481.34 / $48,977.88
| Facility | | $20,417.38 | $35,481.34 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $50,118.72
| Facility | | $40,738.03 | $40,738.03 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $38,018.94 / $47,863.01
| Facility | | $16,982.44 | $38,018.94 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $38,018.94 / $61,659.50
| Facility | | $10,964.78 | $38,018.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $38,018.94 / $52,480.75
| Facility | | $20,892.96 | $38,018.94 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $19,952.62 / $33,113.11
| Facility | | $15,848.93 | $19,952.62 | $33,113.11 |
- 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 |