- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,199.59 / $34,998.30 / $47,793.30
| Facility | | $20,199.59 | $34,998.30 | $47,793.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,755.00 / $30,843.45 / $47,794.63
| Facility | | $15,755.00 | $30,843.45 | $47,794.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,628.66 / $31,378.38 / $46,303.34
| Facility | | $17,628.66 | $31,378.38 | $46,303.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,274.44 / $35,274.44 / $42,833.27
| Facility | | $35,274.44 | $35,274.44 | $42,833.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,992.16 / $52,778.64 / $95,860.91
| Facility | | $17,992.16 | $52,778.64 | $95,860.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,304.80 / $34,251.19 / $47,296.60
| Facility | | $19,304.80 | $34,251.19 | $47,296.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,351.18 / $28,899.45 / $44,631.45
| Facility | | $16,351.18 | $28,899.45 | $44,631.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,898.03 / $22,754.67
| Facility | | $2,621.40 | $15,898.03 | $22,754.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,783.00 / $26,983.52 / $48,944.96
| Facility | | $9,783.00 | $26,983.52 | $48,944.96 |