- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $28,840.32 / $40,738.03
| Facility | | $15,848.93 | $28,840.32 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $46,773.51
| Facility | | $20,892.96 | $33,113.11 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $26,915.35 / $42,657.95
| Facility | | $15,135.61 | $26,915.35 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $30,902.95 / $37,153.52
| Facility | | $30,902.95 | $30,902.95 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $28,840.32 / $36,307.81
| Facility | | $14,125.38 | $28,840.32 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $29,512.09 / $60,255.96
| Facility | | $29,512.09 | $29,512.09 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $27,542.29 / $39,810.72
| Facility | | $15,848.93 | $27,542.29 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $13,489.63 / $19,054.61
| Facility | | $11,748.98 | $13,489.63 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $20,892.96 / $37,153.52
| Facility | | $5,370.32 | $20,892.96 | $37,153.52 |