- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,332.30 / $31,762.80 / $43,375.00
| Facility | | $18,332.30 | $31,762.80 | $43,375.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,531.00 / $29,964.35 / $44,124.51
| Facility | | $14,531.00 | $29,964.35 | $44,124.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,998.96 / $28,477.56 / $43,223.41
| Facility | | $15,998.96 | $28,477.56 | $43,223.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,013.46 / $32,013.46 / $38,873.49
| Facility | | $32,013.46 | $32,013.46 | $38,873.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,337.67 / $35,076.16 / $49,192.06
| Facility | | $21,337.67 | $35,076.16 | $49,192.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,520.20 / $31,084.80 / $42,924.20
| Facility | | $17,520.20 | $31,084.80 | $42,924.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,613.00 / $26,227.80 / $40,505.44
| Facility | | $15,613.00 | $26,227.80 | $40,505.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,296.02 / $20,372.84
| Facility | | $2,621.40 | $14,296.02 | $20,372.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,035.95 / $24,294.71 / $44,420.18
| Facility | | $9,035.95 | $24,294.71 | $44,420.18 |