- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,139.80 / $34,187.40 / $48,860.60
| Facility | | $19,139.80 | $34,187.40 | $48,860.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,675.00 / $37,912.35 / $51,507.00
| Facility | | $18,675.00 | $37,912.35 | $51,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,111.02 / $30,651.34 / $45,564.00
| Facility | | $18,111.02 | $30,651.34 | $45,564.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,457.15 / $34,457.15 / $41,840.82
| Facility | | $34,457.15 | $34,457.15 | $41,840.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,106.70 / $31,427.18 / $46,077.08
| Facility | | $22,106.70 | $31,427.18 | $46,077.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,857.50 / $34,187.40 / $46,685.90
| Facility | | $18,857.50 | $34,187.40 | $46,685.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,037.43 / $27,993.56 / $44,708.57
| Facility | | $17,037.43 | $27,993.56 | $44,708.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,448.30 / $23,570.48
| Facility | | $2,621.40 | $16,448.30 | $23,570.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,725.70 / $26,358.32 / $47,810.91
| Facility | | $9,725.70 | $26,358.32 | $47,810.91 |