- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,091.30 / $34,100.69 / $49,696.30
| Facility | | $19,091.30 | $34,100.69 | $49,696.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,982.00 / $40,006.00 / $54,989.00
| Facility | | $17,982.00 | $40,006.00 | $54,989.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.00 / $30,515.25 / $45,024.77
| Facility | | $16,661.00 | $30,515.25 | $45,024.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,369.81 / $34,369.81 / $41,734.76
| Facility | | $34,369.81 | $34,369.81 | $41,734.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,488.40 / $65,600.21 / $112,054.65
| Facility | | $7,488.40 | $65,600.21 | $112,054.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,809.70 / $34,386.50 / $47,923.30
| Facility | | $18,809.70 | $34,386.50 | $47,923.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,994.24 / $27,922.60 / $43,486.84
| Facility | | $16,994.24 | $27,922.60 | $43,486.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,562.05 / $23,738.31
| Facility | | $2,621.40 | $16,562.05 | $23,738.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,701.06 / $26,291.51 / $47,689.73
| Facility | | $9,701.06 | $26,291.51 | $47,689.73 |