- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,216.50 / $35,130.00 / $55,280.00
| Facility | | $19,216.50 | $35,130.00 | $55,280.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $46,071.51 / $66,565.00
| Facility | | $20,946.00 | $46,071.51 | $66,565.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,649.64 / $33,252.69 / $47,489.02
| Facility | | $18,649.64 | $33,252.69 | $47,489.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,112.97 / $35,112.97 / $42,637.18
| Facility | | $35,112.97 | $35,112.97 | $42,637.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,300.33 / $41,863.11 / $62,616.29
| Facility | | $32,300.33 | $41,863.11 | $62,616.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,690.09 / $34,838.10 / $56,695.00
| Facility | | $18,690.09 | $34,838.10 | $56,695.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,547.96 / $31,234.73 / $47,489.02
| Facility | | $17,547.96 | $31,234.73 | $47,489.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,442.61 / $25,037.59
| Facility | | $2,621.40 | $17,442.61 | $25,037.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,910.82 / $30,676.44 / $48,720.90
| Facility | | $9,910.82 | $30,676.44 | $48,720.90 |