- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,253.80 / $36,177.10 / $51,704.30
| Facility | | $20,253.80 | $36,177.10 | $51,704.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,359.00 / $37,613.01 / $52,965.00
| Facility | | $18,359.00 | $37,613.01 | $52,965.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,901.90 / $31,814.00 / $46,656.36
| Facility | | $16,901.90 | $31,814.00 | $46,656.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,462.51 / $36,462.51 / $44,275.92
| Facility | | $36,462.51 | $36,462.51 | $44,275.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,982.84 / $32,145.27 / $46,048.19
| Facility | | $15,982.84 | $32,145.27 | $46,048.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,955.00 / $35,404.80 / $49,403.00
| Facility | | $19,955.00 | $35,404.80 | $49,403.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,901.90 / $29,839.00 / $46,645.82
| Facility | | $16,901.90 | $29,839.00 | $46,645.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,145.83 / $24,599.68
| Facility | | $2,621.40 | $17,145.83 | $24,599.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,112.50 / $26,553.60 / $48,557.68
| Facility | | $10,112.50 | $26,553.60 | $48,557.68 |