- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $19,498.45 / $28,183.83
| Facility | | $11,220.18 | $19,498.45 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $19,952.62 / $30,199.52
| Facility | | $11,481.54 | $19,952.62 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $19,054.61 / $28,840.32
| Facility | | $10,471.29 | $19,054.61 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $20,892.96 / $25,703.96
| Facility | | $20,892.96 | $20,892.96 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $19,952.62 / $25,118.86
| Facility | | $8,709.64 | $19,952.62 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $28,840.32 / $50,118.72
| Facility | | $8,317.64 | $28,840.32 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $18,197.01 / $26,915.35
| Facility | | $10,715.19 | $18,197.01 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $9,120.11 / $14,791.08
| Facility | | $7,585.78 | $9,120.11 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $14,125.38 / $25,118.86
| Facility | | $4,897.79 | $14,125.38 | $25,118.86 |