- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $47,863.01
| Facility | | $19,054.61 | $29,512.09 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $28,183.83 / $41,686.94
| Facility | | $28,183.83 | $28,183.83 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $18,620.87 / $33,113.11
| Facility | | $8,912.51 | $18,620.87 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $30,199.52 / $57,543.99
| Facility | | $18,620.87 | $30,199.52 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $74,131.02 / $74,131.02
| Facility | | $74,131.02 | $74,131.02 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $27,542.29 / $47,863.01
| Facility | | $11,220.18 | $27,542.29 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $26,302.68 / $61,659.50
| Facility | | $18,197.01 | $26,302.68 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $25,118.86 / $56,234.13
| Facility | | $7,079.46 | $25,118.86 | $56,234.13 |