- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,176.00 / $36,577.60 / $49,950.00
| Facility | | $20,176.00 | $36,577.60 | $49,950.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,604.00 / $35,197.47 / $53,868.40
| Facility | | $18,604.00 | $35,197.47 | $53,868.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,424.16 / $32,794.33 / $48,392.80
| Facility | | $18,424.16 | $32,794.33 | $48,392.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,866.23 / $36,866.23 / $44,766.14
| Facility | | $36,866.23 | $36,866.23 | $44,766.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,140.20 / $35,132.30 / $49,430.90
| Facility | | $20,140.20 | $35,132.30 | $49,430.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,089.03 / $30,203.55 / $47,162.28
| Facility | | $17,089.03 | $30,203.55 | $47,162.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,484.04 / $25,098.72
| Facility | | $2,621.40 | $17,484.04 | $25,098.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,235.70 / $28,201.17 / $51,153.63
| Facility | | $10,235.70 | $28,201.17 | $51,153.63 |