- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,312.00 / $35,011.40 / $47,811.10
| Facility | | $19,312.00 | $35,011.40 | $47,811.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,595.08 / $15,595.08 / $15,595.08
| Facility | | $15,595.08 | $15,595.08 | $15,595.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,312.00 / $36,523.35 / $52,116.31
| Facility | | $17,312.00 | $36,523.35 | $52,116.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,547.53 / $31,390.11 / $46,320.65
| Facility | | $18,547.53 | $31,390.11 | $46,320.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,287.64 / $35,287.64 / $42,849.27
| Facility | | $35,287.64 | $35,287.64 | $42,849.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,869.95 / $33,700.76 / $45,457.77
| Facility | | $18,869.95 | $33,700.76 | $45,457.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,277.80 / $35,011.40 / $47,811.10
| Facility | | $19,277.80 | $35,011.40 | $47,811.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,624.00 / $28,910.25 / $45,564.00
| Facility | | $17,624.00 | $28,910.25 | $45,564.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,886.70 / $24,217.34
| Facility | | $2,621.40 | $16,886.70 | $24,217.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,960.12 / $26,779.46 / $48,963.26
| Facility | | $9,960.12 | $26,779.46 | $48,963.26 |