- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $19,054.61 / $30,902.95
| Facility | | $12,589.25 | $19,054.61 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $13,182.57 / $21,379.62
| Facility | | $13,182.57 | $13,182.57 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $13,489.63 / $23,442.29
| Facility | | $6,760.83 | $13,489.63 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $19,498.45 / $36,307.81
| Facility | | $11,748.98 | $19,498.45 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $47,863.01 / $47,863.01
| Facility | | $47,863.01 | $47,863.01 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $17,782.79 / $30,902.95
| Facility | | $7,244.36 | $17,782.79 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $16,595.87 / $39,810.72
| Facility | | $11,748.98 | $16,595.87 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $16,218.10 / $36,307.81
| Facility | | $5,495.41 | $16,218.10 | $36,307.81 |