- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $36,307.81 / $51,286.14
| Facility | | $20,417.38 | $36,307.81 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $44,668.36 / $58,884.37
| Facility | | $22,908.68 | $44,668.36 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,113.11 / $45,708.82
| Facility | | $19,054.61 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $46,773.51
| Facility | | $38,018.94 | $38,018.94 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $36,307.81 / $58,884.37
| Facility | | $15,848.93 | $36,307.81 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $42,657.95 / $53,703.18
| Facility | | $29,512.09 | $42,657.95 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $35,481.34 / $50,118.72
| Facility | | $19,498.45 | $35,481.34 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $18,620.87 / $30,902.95
| Facility | | $14,791.08 | $18,620.87 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $26,302.68 / $45,708.82
| Facility | | $5,370.32 | $26,302.68 | $45,708.82 |