- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $25,703.96 / $41,686.94
| Facility | | $18,197.01 | $25,703.96 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $22,908.68 / $28,840.32
| Facility | | $22,908.68 | $22,908.68 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $18,620.87 / $32,359.37
| Facility | | $9,332.54 | $18,620.87 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $26,302.68 / $47,863.01
| Facility | | $15,848.93 | $26,302.68 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $63,095.73
| Facility | | $63,095.73 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $25,118.86 / $41,686.94
| Facility | | $9,772.37 | $25,118.86 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $22,387.21 / $53,703.18
| Facility | | $15,848.93 | $22,387.21 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $21,379.62 / $48,977.88
| Facility | | $6,918.31 | $21,379.62 | $48,977.88 |