- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,695.09 / $32,080.00 / $43,808.10
| Facility | | $17,695.09 | $32,080.00 | $43,808.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,383.00 / $32,844.60 / $48,039.00
| Facility | | $16,383.00 | $32,844.60 | $48,039.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,987.20 / $28,761.93 / $41,363.18
| Facility | | $15,987.20 | $28,761.93 | $41,363.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,333.13 / $32,333.13 / $39,261.66
| Facility | | $32,333.13 | $32,333.13 | $39,261.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,059.69 / $35,350.80 / $45,514.51
| Facility | | $22,059.69 | $35,350.80 | $45,514.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,663.70 / $31,686.00 / $43,808.10
| Facility | | $17,663.70 | $31,686.00 | $43,808.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $26,489.70 / $40,909.91
| Facility | | $15,628.00 | $26,489.70 | $40,909.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,978.54 / $21,387.59
| Facility | | $2,621.40 | $14,978.54 | $21,387.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,126.19 / $24,733.53 / $44,863.74
| Facility | | $9,126.19 | $24,733.53 | $44,863.74 |