- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $30,902.95 / $43,651.58
| Facility | | $16,982.44 | $30,902.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,884.42 / $51,286.14
| Facility | | $20,892.96 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $28,183.83 / $38,904.51
| Facility | | $16,218.10 | $28,183.83 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $33,113.11 / $39,810.72
| Facility | | $33,113.11 | $33,113.11 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $30,902.95 / $38,018.94
| Facility | | $13,803.84 | $30,902.95 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $38,904.51 / $54,954.09
| Facility | | $4,677.35 | $38,904.51 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $29,512.09 / $42,657.95
| Facility | | $16,982.44 | $29,512.09 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $15,848.93 / $26,302.68
| Facility | | $13,182.57 | $15,848.93 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $22,387.21 / $38,904.51
| Facility | | $5,370.32 | $22,387.21 | $38,904.51 |