- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $25,703.96 / $36,307.81
| Facility | | $14,791.08 | $25,703.96 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $30,902.95 / $30,902.95
| Facility | | $30,902.95 | $30,902.95 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $28,840.32 / $43,651.58
| Facility | | $19,054.61 | $28,840.32 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $24,547.09 / $39,810.72
| Facility | | $13,803.84 | $24,547.09 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $26,302.68 / $32,359.37
| Facility | | $26,302.68 | $26,302.68 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $25,703.96 / $31,622.78
| Facility | | $11,220.18 | $25,703.96 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,302.68 / $30,902.95
| Facility | | $17,378.01 | $26,302.68 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $25,118.86 / $35,481.34
| Facility | | $13,803.84 | $25,118.86 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $23,988.33 / $26,915.35
| Facility | | $18,197.01 | $23,988.33 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $13,489.63 / $20,892.96
| Facility | | $10,471.29 | $13,489.63 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $18,620.87 / $35,481.34
| Facility | | $5,370.32 | $18,620.87 | $35,481.34 |