- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $26,915.35 / $43,651.58
| Facility | | $19,054.61 | $26,915.35 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,442.29 / $26,915.35 / $26,915.35
| Facility | | $23,442.29 | $26,915.35 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $18,197.01 / $31,622.78
| Facility | | $8,912.51 | $18,197.01 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $28,840.32 / $52,480.75
| Facility | | $16,982.44 | $28,840.32 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $67,608.30 / $67,608.30
| Facility | | $67,608.30 | $67,608.30 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $25,118.86 / $43,651.58
| Facility | | $10,232.93 | $25,118.86 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $23,988.33 / $56,234.13
| Facility | | $16,595.87 | $23,988.33 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $21,379.62 / $48,977.88
| Facility | | $7,943.28 | $21,379.62 | $48,977.88 |