- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $31,622.78 / $44,668.36
| Facility | | $17,782.79 | $31,622.78 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $30,902.95 / $45,708.82
| Facility | | $19,498.45 | $30,902.95 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $29,512.09 / $43,651.58
| Facility | | $16,218.10 | $29,512.09 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $40,738.03
| Facility | | $33,884.42 | $33,884.42 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $31,622.78 / $38,904.51
| Facility | | $14,125.38 | $31,622.78 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $38,904.51 / $46,773.51
| Facility | | $38,904.51 | $38,904.51 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $30,199.52 / $42,657.95
| Facility | | $17,378.01 | $30,199.52 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $14,454.40 / $23,988.33
| Facility | | $11,748.98 | $14,454.40 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $22,908.68 / $39,810.72
| Facility | | $5,370.32 | $22,908.68 | $39,810.72 |