- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $32,359.37 / $64,565.42
| Facility | | $15,488.17 | $32,359.37 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $28,183.83 / $46,773.51
| Facility | | $16,982.44 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $25,118.86 / $36,307.81
| Facility | | $17,378.01 | $25,118.86 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $18,620.87 / $28,840.32
| Facility | | $5,011.87 | $18,620.87 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $28,183.83 / $46,773.51
| Facility | | $22,387.21 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $25,703.96 / $34,673.69
| Facility | | $17,782.79 | $25,703.96 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $14,125.38 / $31,622.78
| Facility | | $3,801.89 | $14,125.38 | $31,622.78 |