- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,106.00 / $34,412.90 / $51,803.00
| Facility | | $19,106.00 | $34,412.90 | $51,803.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,804.00 / $46,714.35 / $69,627.00
| Facility | | $19,804.00 | $46,714.35 | $69,627.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.00 / $30,538.66 / $44,002.39
| Facility | | $16,661.00 | $30,538.66 | $44,002.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,396.18 / $34,396.18 / $41,766.79
| Facility | | $34,396.18 | $34,396.18 | $41,766.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,738.68 / $32,742.28 / $52,724.00
| Facility | | $26,738.68 | $32,742.28 | $52,724.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,824.20 / $34,126.90 / $51,803.00
| Facility | | $18,824.20 | $34,126.90 | $51,803.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,944.06 / $28,221.65 / $43,520.20
| Facility | | $15,944.06 | $28,221.65 | $43,520.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,754.50 / $22,541.28
| Facility | | $2,621.40 | $15,754.50 | $22,541.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,708.50 / $26,311.68 / $47,726.31
| Facility | | $9,708.50 | $26,311.68 | $47,726.31 |