- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,061.50 / $36,134.00 / $52,221.80
| Facility | | $20,061.50 | $36,134.00 | $52,221.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,896.00 / $43,748.48 / $61,447.00
| Facility | | $19,896.00 | $43,748.48 | $61,447.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,983.18 / $32,127.40 / $48,041.32
| Facility | | $18,983.18 | $32,127.40 | $48,041.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,116.48 / $36,116.48 / $43,855.73
| Facility | | $36,116.48 | $36,116.48 | $43,855.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,510.30 / $45,338.44 / $58,789.52
| Facility | | $29,510.30 | $45,338.44 | $58,789.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,765.70 / $35,833.69 / $51,213.60
| Facility | | $19,765.70 | $35,833.69 | $51,213.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,049.47 / $29,589.30 / $46,203.14
| Facility | | $18,049.47 | $29,589.30 | $46,203.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,639.22 / $25,327.68
| Facility | | $2,621.40 | $17,639.22 | $25,327.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,194.06 / $27,627.64 / $50,113.32
| Facility | | $10,194.06 | $27,627.64 | $50,113.32 |