- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $21,877.62 / $35,481.34
| Facility | | $15,488.17 | $21,877.62 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $23,988.33 / $32,359.37
| Facility | | $20,892.96 | $23,988.33 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $15,848.93 / $26,915.35
| Facility | | $7,943.28 | $15,848.93 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $22,387.21 / $41,686.94
| Facility | | $13,803.84 | $22,387.21 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $54,954.09
| Facility | | $54,954.09 | $54,954.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $21,379.62 / $35,481.34
| Facility | | $8,317.64 | $21,379.62 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $19,952.62 / $45,708.82
| Facility | | $13,489.63 | $19,952.62 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $18,620.87 / $41,686.94
| Facility | | $5,888.44 | $18,620.87 | $41,686.94 |