- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,380.59 / $34,617.40 / $47,273.10
| Facility | | $19,380.59 | $34,617.40 | $47,273.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,189.00 / $36,610.91 / $51,513.57
| Facility | | $16,189.00 | $36,610.91 | $51,513.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.00 / $30,977.56 / $47,107.92
| Facility | | $16,661.00 | $30,977.56 | $47,107.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,890.51 / $34,890.51 / $42,367.06
| Facility | | $34,890.51 | $34,890.51 | $42,367.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,639.41 / $43,655.45 / $65,459.09
| Facility | | $43,639.41 | $43,655.45 | $65,459.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,094.70 / $34,617.40 / $46,781.80
| Facility | | $19,094.70 | $34,617.40 | $46,781.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,173.21 / $28,584.90 / $46,242.17
| Facility | | $16,173.21 | $28,584.90 | $46,242.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,752.96 / $25,495.51
| Facility | | $2,621.40 | $17,752.96 | $25,495.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,848.03 / $26,478.09 / $48,412.23
| Facility | | $9,848.03 | $26,478.09 | $48,412.23 |