- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,108.09 / $34,839.69 / $48,961.90
| Facility | | $20,108.09 | $34,839.69 | $48,961.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,380.00 / $37,135.47 / $52,558.00
| Facility | | $19,380.00 | $37,135.47 | $52,558.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,650.50 / $31,236.20 / $46,093.53
| Facility | | $18,650.50 | $31,236.20 | $46,093.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,114.62 / $35,114.62 / $42,639.18
| Facility | | $35,114.62 | $35,114.62 | $42,639.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,661.29 / $34,847.74 / $54,731.09
| Facility | | $18,661.29 | $34,847.74 | $54,731.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,217.40 / $34,839.69 / $47,576.70
| Facility | | $19,217.40 | $34,839.69 | $47,576.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,548.79 / $28,768.50 / $45,018.45
| Facility | | $17,548.79 | $28,768.50 | $45,018.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,559.79 / $23,734.97
| Facility | | $2,621.40 | $16,559.79 | $23,734.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,911.28 / $26,861.26 / $48,723.18
| Facility | | $9,911.28 | $26,861.26 | $48,723.18 |