- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,839.20 / $34,661.80 / $50,094.20
| Facility | | $19,839.20 | $34,661.80 | $50,094.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,367.33 / $28,367.33 / $28,367.33
| Facility | | $28,367.33 | $28,367.33 | $28,367.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,052.00 / $42,470.59 / $60,260.00
| Facility | | $20,052.00 | $42,470.59 | $60,260.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,336.00 / $30,818.45 / $45,564.00
| Facility | | $18,336.00 | $30,818.45 | $45,564.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,645.00 / $34,645.00 / $42,068.92
| Facility | | $34,645.00 | $34,645.00 | $42,068.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,621.75 / $36,621.75 / $55,952.76
| Facility | | $36,621.75 | $36,621.75 | $55,952.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,960.30 / $34,373.80 / $50,043.00
| Facility | | $18,960.30 | $34,373.80 | $50,043.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,314.09 / $28,383.75 / $44,934.13
| Facility | | $17,314.09 | $28,383.75 | $44,934.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,529.66 / $23,690.51
| Facility | | $2,621.40 | $16,529.66 | $23,690.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,778.73 / $26,502.01 / $48,071.56
| Facility | | $9,778.73 | $26,502.01 | $48,071.56 |