- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,303.70 / $30,907.80 / $43,436.10
| Facility | | $17,303.70 | $30,907.80 | $43,436.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,766.00 / $32,211.26 / $46,260.00
| Facility | | $16,766.00 | $32,211.26 | $46,260.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,545.66 / $28,620.28 / $42,526.80
| Facility | | $16,545.66 | $28,620.28 | $42,526.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,151.66 / $31,151.66 / $37,827.01
| Facility | | $31,151.66 | $31,151.66 | $37,827.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,110.12 / $28,060.39 / $51,784.58
| Facility | | $23,110.12 | $28,060.39 | $51,784.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,048.50 / $30,907.80 / $42,948.00
| Facility | | $17,048.50 | $30,907.80 | $42,948.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,568.27 / $25,559.56 / $40,001.41
| Facility | | $15,568.27 | $25,559.56 | $40,001.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,777.45 / $21,088.61
| Facility | | $2,621.40 | $14,777.45 | $21,088.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.59 / $23,377.92 / $43,224.39
| Facility | | $8,639.59 | $23,377.92 | $43,224.39 |