- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $34,673.69 / $50,118.72
| Facility | | $19,054.61 | $34,673.69 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $40,738.03 / $58,884.37
| Facility | | $21,379.62 | $40,738.03 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $32,359.37 / $45,708.82
| Facility | | $18,197.01 | $32,359.37 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $44,668.36
| Facility | | $37,153.52 | $37,153.52 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $34,673.69 / $43,651.58
| Facility | | $15,488.17 | $34,673.69 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $30,902.95 / $39,810.72
| Facility | | $25,703.96 | $30,902.95 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,884.42 / $48,977.88
| Facility | | $19,054.61 | $33,884.42 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $19,952.62 / $32,359.37
| Facility | | $15,135.61 | $19,952.62 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $25,118.86 / $43,651.58
| Facility | | $5,370.32 | $25,118.86 | $43,651.58 |