- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,752.00 / $33,996.10 / $46,424.70
| Facility | | $18,752.00 | $33,996.10 | $46,424.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,552.00 / $29,683.37 / $46,122.00
| Facility | | $15,552.00 | $29,683.37 | $46,122.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,942.09 / $30,479.85 / $45,564.00
| Facility | | $16,942.09 | $30,479.85 | $45,564.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,264.35 / $34,264.35 / $41,606.71
| Facility | | $34,264.35 | $34,264.35 | $41,606.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,528.79 / $36,030.22 / $48,890.84
| Facility | | $20,528.79 | $36,030.22 | $48,890.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,718.80 / $32,652.80 / $45,942.30
| Facility | | $18,718.80 | $32,652.80 | $45,942.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,543.52 / $27,836.93 / $43,353.41
| Facility | | $15,543.52 | $27,836.93 | $43,353.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,255.88 / $21,799.94
| Facility | | $2,621.40 | $15,255.88 | $21,799.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,502.86 / $26,210.84 / $47,543.40
| Facility | | $9,502.86 | $26,210.84 | $47,543.40 |