- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,888.20 / $34,243.00 / $46,761.80
| Facility | | $18,888.20 | $34,243.00 | $46,761.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,783.59 / $22,783.59 / $22,783.59
| Facility | | $22,783.59 | $22,783.59 | $22,783.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,361.00 / $34,807.51 / $50,632.64
| Facility | | $17,361.00 | $34,807.51 | $50,632.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,106.00 / $30,701.18 / $45,564.00
| Facility | | $18,106.00 | $30,701.18 | $45,564.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,513.17 / $34,513.17 / $41,908.85
| Facility | | $34,513.17 | $34,513.17 | $41,908.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,533.22 / $39,880.62 / $58,787.37
| Facility | | $23,533.22 | $39,880.62 | $58,787.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,370.90 / $32,889.90 / $46,275.90
| Facility | | $18,370.90 | $32,889.90 | $46,275.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,065.13 / $28,039.07 / $43,738.89
| Facility | | $17,065.13 | $28,039.07 | $43,738.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,104.35 / $23,061.43
| Facility | | $2,621.40 | $16,104.35 | $23,061.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,741.52 / $30,020.47 / $47,888.65
| Facility | | $9,741.52 | $30,020.47 | $47,888.65 |