- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $30,902.95 / $50,118.72
| Facility | | $21,877.62 | $30,902.95 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $31,622.78 / $38,018.94
| Facility | | $23,442.29 | $31,622.78 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $21,379.62 / $36,307.81
| Facility | | $10,471.29 | $21,379.62 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $34,673.69 / $60,255.96
| Facility | | $19,054.61 | $34,673.69 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $77,624.71 / $77,624.71
| Facility | | $77,624.71 | $77,624.71 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $30,199.52 / $50,118.72
| Facility | | $11,748.98 | $30,199.52 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,840.32 / $64,565.42
| Facility | | $19,054.61 | $28,840.32 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $25,703.96 / $58,884.37
| Facility | | $7,079.46 | $25,703.96 | $58,884.37 |