- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,185.00 / $38,438.10 / $52,490.70
| Facility | | $22,185.00 | $38,438.10 | $52,490.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,385.00 / $36,349.65 / $51,995.00
| Facility | | $19,385.00 | $36,349.65 | $51,995.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,361.31 / $34,462.42 / $49,561.19
| Facility | | $19,361.31 | $34,462.42 | $49,561.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,741.43 / $38,741.43 / $47,043.16
| Facility | | $38,741.43 | $38,741.43 | $47,043.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,285.07 / $47,543.57 / $50,703.40
| Facility | | $30,285.07 | $47,543.57 | $50,703.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,202.20 / $37,617.60 / $51,945.20
| Facility | | $21,202.20 | $37,617.60 | $51,945.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,958.27 / $31,474.18 / $49,018.08
| Facility | | $17,958.27 | $31,474.18 | $49,018.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,471.99 / $25,080.94
| Facility | | $2,621.40 | $17,471.99 | $25,080.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,744.53 / $29,635.62 / $53,755.55
| Facility | | $10,744.53 | $29,635.62 | $53,755.55 |