- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,928.80 / $35,596.69 / $48,871.00
| Facility | | $19,928.80 | $35,596.69 | $48,871.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,552.00 / $41,904.47 / $56,326.00
| Facility | | $19,552.00 | $41,904.47 | $56,326.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,857.59 / $31,914.86 / $47,095.00
| Facility | | $18,857.59 | $31,914.86 | $47,095.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,877.55 / $35,877.55 / $43,565.60
| Facility | | $35,877.55 | $35,877.55 | $43,565.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,077.11 / $39,301.36 / $57,932.52
| Facility | | $13,077.11 | $39,301.36 | $57,932.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,634.90 / $35,596.69 / $48,610.40
| Facility | | $19,634.90 | $35,596.69 | $48,610.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,739.75 / $29,393.55 / $45,394.53
| Facility | | $17,739.75 | $29,393.55 | $45,394.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,264.51 / $23,299.28
| Facility | | $2,621.40 | $16,264.51 | $23,299.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,126.62 / $27,444.87 / $49,781.79
| Facility | | $10,126.62 | $27,444.87 | $49,781.79 |