- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,762.80 / $32,202.60 / $43,975.50
| Facility | | $17,762.80 | $32,202.60 | $43,975.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,997.00 / $35,523.74 / $48,424.22
| Facility | | $16,997.00 | $35,523.74 | $48,424.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,220.48 / $28,871.86 / $42,632.19
| Facility | | $16,220.48 | $28,871.86 | $42,632.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,456.72 / $32,456.72 / $39,411.73
| Facility | | $32,456.72 | $32,456.72 | $39,411.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,780.89 / $35,124.32 / $43,679.34
| Facility | | $14,780.89 | $35,124.32 | $43,679.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,731.20 / $32,202.60 / $43,518.60
| Facility | | $17,731.20 | $32,202.60 | $43,518.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,048.31 / $26,590.95 / $41,521.28
| Facility | | $16,048.31 | $26,590.95 | $41,521.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,714.13 / $22,481.26
| Facility | | $2,621.40 | $15,714.13 | $22,481.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,161.07 / $24,828.07 / $45,035.22
| Facility | | $9,161.07 | $24,828.07 | $45,035.22 |