- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,953.46 / $35,512.31 / $35,915.00
| Facility | | $24,953.46 | $35,512.31 | $35,915.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,985.14 / $36,388.00 / $53,677.30
| Facility | | $24,985.14 | $36,388.00 | $53,677.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,000.00 / $28,819.42 / $32,730.94
| Facility | | $20,000.00 | $28,819.42 | $32,730.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,134.38 / $26,352.15 / $35,136.19
| Facility | | $18,134.38 | $26,352.15 | $35,136.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,350.00 / $31,002.34 / $50,382.00
| Facility | | $20,350.00 | $31,002.34 | $50,382.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,355.57 / $27,502.96 / $33,667.22
| Facility | | $20,355.57 | $27,502.96 | $33,667.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,016.81 / $33,522.68 / $40,877.64
| Facility | | $25,016.81 | $33,522.68 | $40,877.64 |