- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,740.30 / $33,974.90 / $47,746.40
| Facility | | $18,740.30 | $33,974.90 | $47,746.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,874.00 / $34,189.78 / $50,953.00
| Facility | | $15,874.00 | $34,189.78 | $50,953.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,998.41 / $30,460.79 / $45,564.00
| Facility | | $17,998.41 | $30,460.79 | $45,564.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,242.93 / $34,242.93 / $41,580.69
| Facility | | $34,242.93 | $34,242.93 | $41,580.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,998.83 / $40,349.19 / $55,873.23
| Facility | | $23,998.83 | $40,349.19 | $55,873.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,227.00 / $33,249.60 / $46,395.70
| Facility | | $18,227.00 | $33,249.60 | $46,395.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,931.50 / $27,819.52 / $43,326.31
| Facility | | $16,931.50 | $27,819.52 | $43,326.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,631.15 / $22,357.89
| Facility | | $2,621.40 | $15,631.15 | $22,357.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,665.24 / $26,194.45 / $47,513.68
| Facility | | $9,665.24 | $26,194.45 | $47,513.68 |