- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,550.90 / $31,349.20 / $42,810.10
| Facility | | $17,550.90 | $31,349.20 | $42,810.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,473.00 / $29,419.35 / $44,148.63
| Facility | | $12,473.00 | $29,419.35 | $44,148.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,790.61 / $28,106.72 / $40,420.90
| Facility | | $15,790.61 | $28,106.72 | $40,420.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,596.57 / $31,596.57 / $38,367.26
| Facility | | $31,596.57 | $31,596.57 | $38,367.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,527.38 / $34,533.44 / $44,177.41
| Facility | | $17,527.38 | $34,533.44 | $44,177.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,292.00 / $30,110.50 / $42,365.20
| Facility | | $17,292.00 | $30,110.50 | $42,365.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $25,886.25 / $39,977.96
| Facility | | $15,628.00 | $25,886.25 | $39,977.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,469.23 / $19,143.58
| Facility | | $2,621.40 | $13,469.23 | $19,143.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,918.29 / $24,170.09 / $43,841.72
| Facility | | $8,918.29 | $24,170.09 | $43,841.72 |