- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $27,542.29 / $44,668.36
| Facility | | $18,620.87 | $27,542.29 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $22,908.68 / $28,183.83
| Facility | | $22,908.68 | $22,908.68 | $28,183.83 |
- 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
- $17,378.01 / $28,840.32 / $53,703.18
| Facility | | $17,378.01 | $28,840.32 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $69,183.10 / $69,183.10
| Facility | | $69,183.10 | $69,183.10 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $26,302.68 / $44,668.36
| Facility | | $10,715.19 | $26,302.68 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $24,547.09 / $57,543.99
| Facility | | $17,378.01 | $24,547.09 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $23,442.29 / $52,480.75
| Facility | | $7,079.46 | $23,442.29 | $52,480.75 |