- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $35,481.34 / $50,118.72
| Facility | | $19,498.45 | $35,481.34 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $39,810.72 / $54,954.09
| Facility | | $20,892.96 | $39,810.72 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $33,113.11 / $45,708.82
| Facility | | $18,620.87 | $33,113.11 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $45,708.82
| Facility | | $38,018.94 | $38,018.94 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $35,481.34 / $44,668.36
| Facility | | $15,848.93 | $35,481.34 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $34,673.69 / $46,773.51
| Facility | | $21,379.62 | $34,673.69 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $34,673.69 / $48,977.88
| Facility | | $19,498.45 | $34,673.69 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $20,417.38 / $33,113.11
| Facility | | $15,488.17 | $20,417.38 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $25,703.96 / $44,668.36
| Facility | | $5,370.32 | $25,703.96 | $44,668.36 |