- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,097.40 / $34,622.30 / $48,656.30
| Facility | | $19,097.40 | $34,622.30 | $48,656.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,428.00 / $39,631.94 / $54,586.00
| Facility | | $18,428.00 | $39,631.94 | $54,586.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,534.11 / $33,036.12 / $47,114.59
| Facility | | $18,534.11 | $33,036.12 | $47,114.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,895.46 / $34,895.46 / $42,373.06
| Facility | | $34,895.46 | $34,895.46 | $42,373.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,209.22 / $37,129.98 / $49,545.04
| Facility | | $24,209.22 | $37,129.98 | $49,545.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,574.30 / $33,254.19 / $47,279.80
| Facility | | $18,574.30 | $33,254.19 | $47,279.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,439.25 / $30,981.95 / $44,438.75
| Facility | | $17,439.25 | $30,981.95 | $44,438.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,354.15 / $23,431.55
| Facility | | $2,621.40 | $16,354.15 | $23,431.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,849.42 / $30,486.41 / $48,419.09
| Facility | | $9,849.42 | $30,486.41 | $48,419.09 |