- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $39,810.72 / $64,565.42
| Facility | | $26,302.68 | $39,810.72 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $18,197.01 / $18,197.01
| Facility | | $18,197.01 | $18,197.01 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $27,542.29 / $46,773.51
| Facility | | $14,125.38 | $27,542.29 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $37,153.52 / $74,131.02
| Facility | | $24,547.09 | $37,153.52 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $97,723.72 / $97,723.72
| Facility | | $97,723.72 | $97,723.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $37,153.52 / $64,565.42
| Facility | | $15,135.61 | $37,153.52 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $34,673.69 / $81,283.05
| Facility | | $24,547.09 | $34,673.69 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $33,884.42 / $70,794.58
| Facility | | $11,748.98 | $33,884.42 | $70,794.58 |