- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,437.60 / $37,143.30 / $50,722.40
| Facility | | $21,437.60 | $37,143.30 | $50,722.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,354.00 / $37,210.31 / $55,235.00
| Facility | | $18,354.00 | $37,210.31 | $55,235.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,059.06 / $31,814.00 / $47,891.65
| Facility | | $18,059.06 | $31,814.00 | $47,891.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,436.37 / $37,436.37 / $45,458.45
| Facility | | $37,436.37 | $37,436.37 | $45,458.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,221.92 / $39,512.93 / $50,747.96
| Facility | | $23,221.92 | $39,512.93 | $50,747.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,488.00 / $36,791.00 / $50,195.40
| Facility | | $20,488.00 | $36,791.00 | $50,195.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,510.50 / $30,413.93 / $47,767.28
| Facility | | $18,510.50 | $30,413.93 | $47,767.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,542.04 / $25,184.30
| Facility | | $2,621.40 | $17,542.04 | $25,184.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,566.61 / $28,637.30 / $51,944.72
| Facility | | $10,566.61 | $28,637.30 | $51,944.72 |