- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,804.30 / $34,090.90 / $46,554.20
| Facility | | $18,804.30 | $34,090.90 | $46,554.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,029.00 / $33,556.71 / $51,086.53
| Facility | | $17,029.00 | $33,556.71 | $51,086.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.00 / $30,564.86 / $45,395.78
| Facility | | $16,661.00 | $30,564.86 | $45,395.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,359.93 / $34,359.93 / $41,722.76
| Facility | | $34,359.93 | $34,359.93 | $41,722.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,915.87 / $32,409.12 / $50,221.88
| Facility | | $10,915.87 | $32,409.12 | $50,221.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,771.00 / $32,743.90 / $46,070.40
| Facility | | $18,771.00 | $32,743.90 | $46,070.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,989.34 / $28,191.90 / $43,956.02
| Facility | | $16,989.34 | $28,191.90 | $43,956.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,694.62 / $23,933.92
| Facility | | $2,621.40 | $16,694.62 | $23,933.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,698.27 / $26,075.43 / $47,676.01
| Facility | | $9,698.27 | $26,075.43 | $47,676.01 |