- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,308.70 / $32,702.90 / $44,658.70
| Facility | | $18,308.70 | $32,702.90 | $44,658.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,082.00 / $30,820.64 / $47,875.17
| Facility | | $15,082.00 | $30,820.64 | $47,875.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,472.47 / $29,320.40 / $44,502.67
| Facility | | $16,472.47 | $29,320.40 | $44,502.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,960.94 / $32,960.94 / $40,024.00
| Facility | | $32,960.94 | $32,960.94 | $40,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,425.70 / $40,303.86 / $50,511.81
| Facility | | $24,425.70 | $40,303.86 | $50,511.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,038.70 / $32,004.80 / $44,194.60
| Facility | | $18,038.70 | $32,004.80 | $44,194.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,137.00 / $27,004.05 / $41,704.25
| Facility | | $16,137.00 | $27,004.05 | $41,704.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,099.64 / $21,567.65
| Facility | | $2,621.40 | $15,099.64 | $21,567.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,303.40 / $25,213.78 / $45,734.86
| Facility | | $9,303.40 | $25,213.78 | $45,734.86 |