- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,949.70 / $37,980.40 / $51,865.50
| Facility | | $20,949.70 | $37,980.40 | $51,865.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,884.00 / $32,236.25 / $49,280.79
| Facility | | $17,884.00 | $32,236.25 | $49,280.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,365.16 / $32,058.78 / $51,684.33
| Facility | | $17,365.16 | $32,058.78 | $51,684.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,280.04 / $38,280.04 / $46,482.91
| Facility | | $38,280.04 | $38,280.04 | $46,482.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,913.22 / $42,980.54 / $73,950.85
| Facility | | $18,913.22 | $42,980.54 | $73,950.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,429.00 / $36,478.00 / $51,326.60
| Facility | | $20,429.00 | $36,478.00 | $51,326.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,365.16 / $31,099.34 / $50,475.14
| Facility | | $17,365.16 | $31,099.34 | $50,475.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $19,335.57 / $27,830.66
| Facility | | $2,621.40 | $19,335.57 | $27,830.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,616.57 / $29,282.68 / $53,115.36
| Facility | | $10,616.57 | $29,282.68 | $53,115.36 |