- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $34,673.69 / $48,977.88
| Facility | | $19,498.45 | $34,673.69 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $39,810.72 / $54,954.09
| Facility | | $20,892.96 | $39,810.72 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $31,622.78 / $45,708.82
| Facility | | $19,054.61 | $31,622.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $36,307.81 / $44,668.36
| Facility | | $36,307.81 | $36,307.81 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $34,673.69 / $42,657.95
| Facility | | $15,135.61 | $34,673.69 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $33,113.11 / $50,118.72
| Facility | | $25,703.96 | $33,113.11 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $33,884.42 / $47,863.01
| Facility | | $18,620.87 | $33,884.42 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $16,218.10 / $27,542.29
| Facility | | $14,125.38 | $16,218.10 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $24,547.09 / $43,651.58
| Facility | | $5,370.32 | $24,547.09 | $43,651.58 |