- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,972.20 / $34,894.30 / $48,631.00
| Facility | | $19,972.20 | $34,894.30 | $48,631.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,488.00 / $36,264.42 / $56,329.00
| Facility | | $17,488.00 | $36,264.42 | $56,329.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,331.87 / $31,025.12 / $45,782.06
| Facility | | $18,331.87 | $31,025.12 | $45,782.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,877.33 / $34,877.33 / $42,351.05
| Facility | | $34,877.33 | $34,877.33 | $42,351.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,903.83 / $36,370.94 / $44,985.77
| Facility | | $10,903.83 | $36,370.94 | $44,985.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,087.50 / $34,604.30 / $48,232.00
| Facility | | $19,087.50 | $34,604.30 | $48,232.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,245.18 / $28,574.10 / $44,128.99
| Facility | | $17,245.18 | $28,574.10 | $44,128.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,121.54 / $23,087.00
| Facility | | $2,621.40 | $16,121.54 | $23,087.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,844.31 / $26,468.08 / $48,393.94
| Facility | | $9,844.31 | $26,468.08 | $48,393.94 |