- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,285.30 / $38,019.60 / $51,919.10
| Facility | | $21,285.30 | $38,019.60 | $51,919.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,988.00 / $39,290.96 / $53,607.30
| Facility | | $17,988.00 | $39,290.96 | $53,607.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,141.16 / $34,087.18 / $49,021.54
| Facility | | $20,141.16 | $34,087.18 | $49,021.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,319.58 / $38,319.58 / $46,530.93
| Facility | | $38,319.58 | $38,319.58 | $46,530.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,617.91 / $33,537.36 / $45,957.01
| Facility | | $10,617.91 | $33,537.36 | $45,957.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,971.40 / $38,019.60 / $51,379.60
| Facility | | $20,971.40 | $38,019.60 | $51,379.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,947.22 / $31,394.25 / $48,484.35
| Facility | | $18,947.22 | $31,394.25 | $48,484.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,436.59 / $25,028.70
| Facility | | $2,621.40 | $17,436.59 | $25,028.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,130.00 / $29,517.57 / $48,893.64
| Facility | | $5,130.00 | $29,517.57 | $48,893.64 |