- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,713.90 / $35,889.30 / $49,010.00
| Facility | | $20,713.90 | $35,889.30 | $49,010.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,317.00 / $35,300.10 / $53,106.45
| Facility | | $18,317.00 | $35,300.10 | $53,106.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,885.59 / $32,177.24 / $47,482.18
| Facility | | $17,885.59 | $32,177.24 | $47,482.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,172.51 / $36,172.51 / $43,923.76
| Facility | | $36,172.51 | $36,172.51 | $43,923.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,258.23 / $28,624.18 / $42,832.72
| Facility | | $10,258.23 | $28,624.18 | $42,832.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,796.30 / $35,123.19 / $48,500.80
| Facility | | $19,796.30 | $35,123.19 | $48,500.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,767.46 / $29,387.14 / $46,274.82
| Facility | | $16,767.46 | $29,387.14 | $46,274.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,235.47 / $24,731.94
| Facility | | $2,621.40 | $17,235.47 | $24,731.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,209.87 / $31,602.10 / $53,422.39
| Facility | | $10,209.87 | $31,602.10 | $53,422.39 |