- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,183.83 / $45,708.82
| Facility | | $19,054.61 | $28,183.83 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $28,183.83 / $44,668.36
| Facility | | $23,442.29 | $28,183.83 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $19,498.45 / $33,113.11
| Facility | | $9,332.54 | $19,498.45 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $28,840.32 / $53,703.18
| Facility | | $17,782.79 | $28,840.32 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $70,794.58 / $70,794.58
| Facility | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $26,915.35 / $45,708.82
| Facility | | $10,715.19 | $26,915.35 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,703.96 / $58,884.37
| Facility | | $17,378.01 | $25,703.96 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $23,988.33 / $53,703.18
| Facility | | $7,079.46 | $23,988.33 | $53,703.18 |