- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $33,113.11 / $46,773.51
| Facility | | $18,620.87 | $33,113.11 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $35,481.34 / $51,286.14
| Facility | | $20,892.96 | $35,481.34 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $30,199.52 / $41,686.94
| Facility | | $18,197.01 | $30,199.52 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $42,657.95
| Facility | | $35,481.34 | $35,481.34 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $33,113.11 / $40,738.03
| Facility | | $15,848.93 | $33,113.11 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $56,234.13
| Facility | | $26,915.35 | $37,153.52 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $32,359.37 / $44,668.36
| Facility | | $18,197.01 | $32,359.37 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $14,791.08 / $18,620.87
| Facility | | $12,882.50 | $14,791.08 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $23,988.33 / $41,686.94
| Facility | | $5,370.32 | $23,988.33 | $41,686.94 |