- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,089.50 / $38,233.80 / $52,211.60
| Facility | | $21,089.50 | $38,233.80 | $52,211.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,465.00 / $39,555.00 / $58,131.51
| Facility | | $19,465.00 | $39,555.00 | $58,131.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,254.61 / $34,279.19 / $49,297.69
| Facility | | $20,254.61 | $34,279.19 | $49,297.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,535.44 / $38,535.44 / $46,793.05
| Facility | | $38,535.44 | $38,535.44 | $46,793.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,639.75 / $43,041.11 / $51,854.18
| Facility | | $25,639.75 | $43,041.11 | $51,854.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,052.10 / $37,989.00 / $52,211.60
| Facility | | $21,052.10 | $37,989.00 | $52,211.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,053.95 / $31,571.10 / $48,757.47
| Facility | | $19,053.95 | $31,571.10 | $48,757.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,861.43 / $25,655.55
| Facility | | $2,621.40 | $17,861.43 | $25,655.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,876.83 / $29,478.05 / $53,469.75
| Facility | | $10,876.83 | $29,478.05 | $53,469.75 |