- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $30,902.95 / $43,651.58
| Facility | | $16,982.44 | $30,902.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $32,359.37 / $48,977.88
| Facility | | $20,892.96 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $28,183.83 / $43,651.58
| Facility | | $15,488.17 | $28,183.83 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $33,113.11 / $39,810.72
| Facility | | $33,113.11 | $33,113.11 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $30,902.95 / $38,904.51
| Facility | | $14,125.38 | $30,902.95 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $35,481.34 / $43,651.58
| Facility | | $19,498.45 | $35,481.34 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $28,183.83 / $41,686.94
| Facility | | $16,982.44 | $28,183.83 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $14,791.08 / $25,118.86
| Facility | | $12,589.25 | $14,791.08 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $22,387.21 / $38,904.51
| Facility | | $5,370.32 | $22,387.21 | $38,904.51 |