- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $33,884.42 / $47,863.01
| Facility | | $18,620.87 | $33,884.42 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $30,902.95 / $48,977.88
| Facility | | $18,197.01 | $30,902.95 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $31,622.78 / $45,708.82
| Facility | | $16,982.44 | $31,622.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $36,307.81 / $43,651.58
| Facility | | $36,307.81 | $36,307.81 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $33,884.42 / $41,686.94
| Facility | | $15,135.61 | $33,884.42 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $24,547.09 / $66,069.34
| Facility | | $17,378.01 | $24,547.09 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $31,622.78 / $45,708.82
| Facility | | $18,620.87 | $31,622.78 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $15,848.93 / $26,302.68
| Facility | | $13,803.84 | $15,848.93 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $24,547.09 / $42,657.95
| Facility | | $5,370.32 | $24,547.09 | $42,657.95 |