- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $33,113.11 / $53,703.18
| Facility | | $23,988.33 | $33,113.11 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $33,884.42 / $50,118.72
| Facility | | $32,359.37 | $33,884.42 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $22,908.68 / $38,904.51
| Facility | | $11,220.18 | $22,908.68 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $36,307.81 / $66,069.34
| Facility | | $20,892.96 | $36,307.81 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $83,176.38 / $83,176.38
| Facility | | $83,176.38 | $83,176.38 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $32,359.37 / $53,703.18
| Facility | | $12,882.50 | $32,359.37 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $29,512.09 / $69,183.10
| Facility | | $20,892.96 | $29,512.09 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $28,183.83 / $63,095.73
| Facility | | $9,120.11 | $28,183.83 | $63,095.73 |