- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,746.90 / $35,946.50 / $49,088.20
| Facility | | $20,746.90 | $35,946.50 | $49,088.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,636.12 / $23,636.12 / $23,636.12
| Facility | | $23,636.12 | $23,636.12 | $23,636.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,853.00 / $39,805.08 / $54,434.54
| Facility | | $19,853.00 | $39,805.08 | $54,434.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,243.02 / $32,228.54 / $47,602.86
| Facility | | $19,243.02 | $32,228.54 | $47,602.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,230.18 / $36,230.18 / $43,993.79
| Facility | | $36,230.18 | $36,230.18 | $43,993.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,072.51 / $43,317.65 / $65,041.56
| Facility | | $33,072.51 | $43,317.65 | $65,041.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,827.90 / $35,946.50 / $49,088.20
| Facility | | $19,827.90 | $35,946.50 | $49,088.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,106.29 / $29,682.45 / $46,348.60
| Facility | | $18,106.29 | $29,682.45 | $46,348.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,487.06 / $25,103.16
| Facility | | $2,621.40 | $17,487.06 | $25,103.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,226.15 / $27,714.61 / $50,271.08
| Facility | | $10,226.15 | $27,714.61 | $50,271.08 |