- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $28,840.32 / $40,738.03
| Facility | | $15,848.93 | $28,840.32 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $31,622.78 / $47,863.01
| Facility | | $19,054.61 | $31,622.78 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $26,915.35 / $42,657.95
| Facility | | $15,488.17 | $26,915.35 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $30,902.95 / $37,153.52
| Facility | | $30,902.95 | $30,902.95 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $29,512.09 / $36,307.81
| Facility | | $12,882.50 | $29,512.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $30,199.52 / $45,708.82
| Facility | | $13,182.57 | $30,199.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $26,915.35 / $39,810.72
| Facility | | $15,848.93 | $26,915.35 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $15,848.93 / $26,302.68
| Facility | | $12,589.25 | $15,848.93 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $20,892.96 / $37,153.52
| Facility | | $5,370.32 | $20,892.96 | $37,153.52 |