- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,495.90 / $35,115.19 / $51,386.30
| Facility | | $19,495.90 | $35,115.19 | $51,386.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,411.00 / $42,120.73 / $60,352.74
| Facility | | $19,411.00 | $42,120.73 | $60,352.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,447.93 / $31,221.54 / $46,071.90
| Facility | | $18,447.93 | $31,221.54 | $46,071.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,098.14 / $35,098.14 / $42,619.17
| Facility | | $35,098.14 | $35,098.14 | $42,619.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,435.42 / $34,734.75 / $49,422.95
| Facility | | $31,435.42 | $34,734.75 | $49,422.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,208.30 / $34,823.40 / $50,749.40
| Facility | | $19,208.30 | $34,823.40 | $50,749.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,354.37 / $28,755.00 / $44,408.37
| Facility | | $17,354.37 | $28,755.00 | $44,408.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,312.72 / $23,370.42
| Facility | | $2,621.40 | $16,312.72 | $23,370.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,906.62 / $26,635.65 / $48,700.32
| Facility | | $9,906.62 | $26,635.65 | $48,700.32 |