- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,862.00 / $35,477.30 / $48,447.40
| Facility | | $19,862.00 | $35,477.30 | $48,447.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,346.00 / $37,319.17 / $53,500.00
| Facility | | $19,346.00 | $37,319.17 | $53,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,869.95 / $31,807.86 / $48,600.54
| Facility | | $17,869.95 | $31,807.86 | $48,600.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,757.26 / $35,757.26 / $43,419.53
| Facility | | $35,757.26 | $35,757.26 | $43,419.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,045.46 / $40,432.80 / $50,075.56
| Facility | | $27,045.46 | $40,432.80 | $50,075.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,569.09 / $34,720.00 / $48,447.40
| Facility | | $19,569.09 | $34,720.00 | $48,447.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,768.00 / $29,295.00 / $48,600.54
| Facility | | $16,768.00 | $29,295.00 | $48,600.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $18,634.28 / $26,795.90
| Facility | | $2,621.40 | $18,634.28 | $26,795.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,092.67 / $27,352.85 / $49,614.88
| Facility | | $10,092.67 | $27,352.85 | $49,614.88 |