- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,140.10 / $43,118.90 / $58,882.60
| Facility | | $24,140.10 | $43,118.90 | $58,882.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $47,050.82 / $66,354.33
| Facility | | $20,946.00 | $47,050.82 | $66,354.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,718.99 / $38,585.16 / $55,931.56
| Facility | | $21,718.99 | $38,585.16 | $55,931.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,459.08 / $43,459.08 / $52,771.74
| Facility | | $43,459.08 | $43,459.08 | $52,771.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,784.10 / $43,118.90 / $58,882.60
| Facility | | $23,784.10 | $43,118.90 | $58,882.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,488.45 / $35,306.87 / $55,596.39
| Facility | | $21,488.45 | $35,306.87 | $55,596.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $20,459.43 / $29,488.94
| Facility | | $2,621.40 | $20,459.43 | $29,488.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,266.55 / $33,244.43 / $60,301.51
| Facility | | $12,266.55 | $33,244.43 | $60,301.51 |