- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $34,673.69 / $52,480.75
| Facility | | $19,498.45 | $34,673.69 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $48,977.88 / $70,794.58
| Facility | | $22,908.68 | $48,977.88 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $31,622.78 / $43,651.58
| Facility | | $18,197.01 | $31,622.78 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $37,153.52 / $44,668.36
| Facility | | $37,153.52 | $37,153.52 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $34,673.69 / $43,651.58
| Facility | | $18,620.87 | $34,673.69 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $33,113.11 / $56,234.13
| Facility | | $26,915.35 | $33,113.11 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $33,884.42 / $51,286.14
| Facility | | $19,054.61 | $33,884.42 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $16,595.87 / $20,892.96
| Facility | | $13,803.84 | $16,595.87 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $25,118.86 / $43,651.58
| Facility | | $5,370.32 | $25,118.86 | $43,651.58 |