- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,135.20 / $32,877.80 / $44,897.60
| Facility | | $18,135.20 | $32,877.80 | $44,897.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,656.54 / $21,656.54 / $46,716.63
| Facility | | $21,656.54 | $21,656.54 | $46,716.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,735.00 / $32,835.75 / $48,559.00
| Facility | | $15,735.00 | $32,835.75 | $48,559.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,560.59 / $29,477.24 / $42,391.88
| Facility | | $16,560.59 | $29,477.24 | $42,391.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,137.26 / $33,137.26 / $40,238.10
| Facility | | $33,137.26 | $33,137.26 | $40,238.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,304.82 / $34,142.54 / $46,989.82
| Facility | | $16,304.82 | $34,142.54 | $46,989.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,103.00 / $32,469.00 / $44,431.00
| Facility | | $18,103.00 | $32,469.00 | $44,431.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,384.80 / $26,921.26 / $41,927.33
| Facility | | $16,384.80 | $26,921.26 | $41,927.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,462.95 / $22,107.81
| Facility | | $2,621.40 | $15,462.95 | $22,107.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,353.16 / $25,348.66 / $45,979.50
| Facility | | $9,353.16 | $25,348.66 | $45,979.50 |