- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,842.70 / $39,015.30 / $56,379.00
| Facility | | $21,842.70 | $39,015.30 | $56,379.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,400.00 / $44,074.71 / $60,724.00
| Facility | | $20,400.00 | $44,074.71 | $60,724.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,668.61 / $34,979.85 / $50,305.31
| Facility | | $20,668.61 | $34,979.85 | $50,305.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,323.10 / $39,323.10 / $47,749.48
| Facility | | $39,323.10 | $39,323.10 | $47,749.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,429.87 / $35,041.76 / $51,521.14
| Facility | | $20,429.87 | $35,041.76 | $51,521.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,520.60 / $39,015.30 / $53,569.00
| Facility | | $21,520.60 | $39,015.30 | $53,569.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,443.41 / $32,216.40 / $50,096.62
| Facility | | $19,443.41 | $32,216.40 | $50,096.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $18,375.16 / $26,413.56
| Facility | | $2,621.40 | $18,375.16 | $26,413.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,099.15 / $29,841.93 / $54,562.65
| Facility | | $11,099.15 | $29,841.93 | $54,562.65 |