- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,030.00 / $32,438.70 / $39,169.00
| Facility | | $17,030.00 | $32,438.70 | $39,169.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $29,291.60 / $50,279.37
| Facility | | $6,916.00 | $29,291.60 | $50,279.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,626.00 / $27,284.08 / $31,925.06
| Facility | | $22,626.00 | $27,284.08 | $31,925.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,818.47 / $23,302.94 / $30,841.80
| Facility | | $13,818.47 | $23,302.94 | $30,841.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,482.82 / $29,291.60 / $44,886.80
| Facility | | $17,482.82 | $29,291.60 | $44,886.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,401.70 / $25,957.18 / $34,636.65
| Facility | | $19,401.70 | $25,957.18 | $34,636.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $26,708.49 / $38,474.18
| Facility | | $3,775.00 | $26,708.49 | $38,474.18 |