- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,681.80 / $35,980.69 / $54,339.90
| Facility | | $19,681.80 | $35,980.69 | $54,339.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $50,397.28 / $68,498.25
| Facility | | $20,946.00 | $50,397.28 | $68,498.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,101.24 / $34,047.00 / $48,749.61
| Facility | | $19,101.24 | $34,047.00 | $48,749.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,963.24 / $35,963.24 / $43,669.64
| Facility | | $35,963.24 | $35,963.24 | $43,669.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,967.72 / $45,632.00 / $64,374.98
| Facility | | $12,967.72 | $45,632.00 | $64,374.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,646.90 / $35,980.69 / $60,990.00
| Facility | | $19,646.90 | $35,980.69 | $60,990.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,972.89 / $31,929.98 / $48,749.61
| Facility | | $17,972.89 | $31,929.98 | $48,749.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,894.57 / $25,704.46
| Facility | | $2,621.40 | $17,894.57 | $25,704.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,150.81 / $31,281.77 / $47,892.78
| Facility | | $10,150.81 | $31,281.77 | $47,892.78 |