- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,556.80 / $39,082.30 / $53,370.30
| Facility | | $22,556.80 | $39,082.30 | $53,370.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,692.00 / $38,670.90 / $56,113.43
| Facility | | $18,692.00 | $38,670.90 | $56,113.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,151.00 / $35,039.94 / $50,391.74
| Facility | | $20,151.00 | $35,039.94 | $50,391.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,390.66 / $39,390.66 / $47,831.51
| Facility | | $39,390.66 | $39,390.66 | $47,831.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,880.46 / $47,244.80 / $72,780.25
| Facility | | $34,880.46 | $47,244.80 | $72,780.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,557.50 / $38,248.00 / $52,815.70
| Facility | | $21,557.50 | $38,248.00 | $52,815.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,564.00 / $32,271.75 / $49,839.53
| Facility | | $19,564.00 | $32,271.75 | $49,839.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,607.58 / $25,281.00
| Facility | | $2,621.40 | $17,607.58 | $25,281.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,118.22 / $30,132.25 / $54,656.39
| Facility | | $11,118.22 | $30,132.25 | $54,656.39 |