- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,860.70 / $33,688.80 / $46,005.00
| Facility | | $18,860.70 | $33,688.80 | $46,005.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,102.00 / $35,882.62 / $50,365.00
| Facility | | $17,102.00 | $35,882.62 | $50,365.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,846.86 / $30,204.27 / $45,564.00
| Facility | | $17,846.86 | $30,204.27 | $45,564.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,954.57 / $33,954.57 / $41,230.55
| Facility | | $33,954.57 | $33,954.57 | $41,230.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,300.75 / $41,302.61 / $57,153.75
| Facility | | $31,300.75 | $41,302.61 | $57,153.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,582.50 / $33,688.80 / $46,005.00
| Facility | | $18,582.50 | $33,688.80 | $46,005.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,788.91 / $27,818.10 / $42,961.45
| Facility | | $16,788.91 | $27,818.10 | $42,961.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,531.73 / $22,210.07
| Facility | | $2,621.40 | $15,531.73 | $22,210.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,583.85 / $25,973.86 / $47,113.56
| Facility | | $9,583.85 | $25,973.86 | $47,113.56 |