- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $32,359.37 / $45,708.82
| Facility | | $18,620.87 | $32,359.37 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $51,286.14
| Facility | | $20,892.96 | $33,113.11 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $29,512.09 / $41,686.94
| Facility | | $16,595.87 | $29,512.09 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $34,673.69 / $41,686.94
| Facility | | $34,673.69 | $34,673.69 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $33,113.11 / $40,738.03
| Facility | | $14,454.40 | $33,113.11 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $33,113.11 / $45,708.82
| Facility | | $18,197.01 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $30,199.52 / $44,668.36
| Facility | | $17,782.79 | $30,199.52 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $15,848.93 / $27,542.29
| Facility | | $13,803.84 | $15,848.93 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $23,442.29 / $41,686.94
| Facility | | $5,370.32 | $23,442.29 | $41,686.94 |