- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,220.00 / $31,568.30 / $43,109.30
| Facility | | $18,220.00 | $31,568.30 | $43,109.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,402.00 / $34,773.47 / $47,682.00
| Facility | | $17,402.00 | $34,773.47 | $47,682.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,732.18 / $28,303.13 / $42,467.77
| Facility | | $15,732.18 | $28,303.13 | $42,467.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,817.37 / $31,817.37 / $38,635.37
| Facility | | $31,817.37 | $31,817.37 | $38,635.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,412.90 / $31,568.30 / $43,109.30
| Facility | | $17,412.90 | $31,568.30 | $43,109.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $26,067.15 / $40,703.37
| Facility | | $15,628.00 | $26,067.15 | $40,703.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,652.83 / $22,390.12
| Facility | | $2,621.40 | $15,652.83 | $22,390.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,980.62 / $24,338.99 / $44,148.10
| Facility | | $8,980.62 | $24,338.99 | $44,148.10 |