- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $25,118.86 / $35,481.34
| Facility | | $15,135.61 | $25,118.86 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $16,218.10 / $26,302.68
| Facility | | $8,317.64 | $16,218.10 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $26,915.35 / $47,863.01
| Facility | | $13,489.63 | $26,915.35 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $53,703.18 / $53,703.18
| Facility | | $53,703.18 | $53,703.18 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $22,908.68 / $35,481.34
| Facility | | $12,882.50 | $22,908.68 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $17,782.79 / $20,892.96
| Facility | | $15,488.17 | $17,782.79 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $21,379.62 / $48,977.88
| Facility | | $13,489.63 | $21,379.62 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $22,387.21 / $38,904.51
| Facility | | $7,943.28 | $22,387.21 | $38,904.51 |