- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $45,708.82 / $66,069.34
| Facility | | $24,547.09 | $45,708.82 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $51,286.14 / $75,857.76
| Facility | | $27,542.29 | $51,286.14 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $41,686.94 / $64,565.42
| Facility | | $24,547.09 | $41,686.94 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $58,884.37
| Facility | | $48,977.88 | $48,977.88 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $45,708.82 / $56,234.13
| Facility | | $24,547.09 | $45,708.82 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $43,651.58 / $54,954.09
| Facility | | $23,988.33 | $43,651.58 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $41,686.94 / $63,095.73
| Facility | | $24,547.09 | $41,686.94 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $25,118.86 / $42,657.95
| Facility | | $18,620.87 | $25,118.86 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $33,113.11 / $57,543.99
| Facility | | $5,370.32 | $33,113.11 | $57,543.99 |