- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,737.00 / $37,040.30 / $50,581.80
| Facility | | $20,737.00 | $37,040.30 | $50,581.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,475.00 / $40,851.00 / $57,228.00
| Facility | | $18,475.00 | $40,851.00 | $57,228.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,828.53 / $33,209.16 / $48,559.00
| Facility | | $19,828.53 | $33,209.16 | $48,559.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,332.56 / $37,332.56 / $45,332.39
| Facility | | $37,332.56 | $37,332.56 | $45,332.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,020.32 / $48,673.56 / $78,355.03
| Facility | | $24,020.32 | $48,673.56 | $78,355.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,431.20 / $37,040.30 / $50,581.80
| Facility | | $20,431.20 | $37,040.30 | $50,581.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,657.22 / $30,585.60 / $47,235.49
| Facility | | $18,657.22 | $30,585.60 | $47,235.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,040.37 / $24,444.08
| Facility | | $2,621.40 | $17,040.37 | $24,444.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,537.31 / $28,557.89 / $51,800.68
| Facility | | $10,537.31 | $28,557.89 | $51,800.68 |