- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,489.90 / $36,598.90 / $51,434.10
| Facility | | $20,489.90 | $36,598.90 | $51,434.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,155.00 / $40,262.71 / $57,512.00
| Facility | | $20,155.00 | $40,262.71 | $57,512.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,388.50 / $32,813.40 / $48,420.92
| Facility | | $19,388.50 | $32,813.40 | $48,420.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,887.65 / $36,887.65 / $44,792.15
| Facility | | $36,887.65 | $36,887.65 | $44,792.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,364.16 / $55,211.59 / $64,184.98
| Facility | | $46,364.16 | $55,211.59 | $64,184.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,187.70 / $36,598.90 / $50,733.00
| Facility | | $20,187.70 | $36,598.90 | $50,733.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,239.18 / $30,221.10 / $47,058.99
| Facility | | $18,239.18 | $30,221.10 | $47,058.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,288.18 / $24,809.74
| Facility | | $2,621.40 | $17,288.18 | $24,809.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,411.73 / $28,217.55 / $51,183.35
| Facility | | $10,411.73 | $28,217.55 | $51,183.35 |