- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,154.40 / $37,785.80 / $53,102.10
| Facility | | $21,154.40 | $37,785.80 | $53,102.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,957.00 / $40,616.79 / $57,886.00
| Facility | | $18,957.00 | $40,616.79 | $57,886.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,227.62 / $33,877.57 / $49,746.69
| Facility | | $20,227.62 | $33,877.57 | $49,746.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,083.94 / $38,083.94 / $46,244.80
| Facility | | $38,083.94 | $38,083.94 | $46,244.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,981.58 / $46,785.02 / $60,108.70
| Facility | | $38,981.58 | $46,785.02 | $60,108.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,842.40 / $37,785.80 / $51,599.80
| Facility | | $20,842.40 | $37,785.80 | $51,599.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,032.73 / $31,201.20 / $48,720.10
| Facility | | $19,032.73 | $31,201.20 | $48,720.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $18,248.61 / $26,226.84
| Facility | | $2,621.40 | $18,248.61 | $26,226.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,749.39 / $29,132.68 / $52,843.28
| Facility | | $10,749.39 | $29,132.68 | $52,843.28 |