- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,517.50 / $31,757.90 / $43,368.30
| Facility | | $17,517.50 | $31,757.90 | $43,368.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,405.57 / $21,043.59 / $30,816.18
| Facility | | $20,405.57 | $21,043.59 | $30,816.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,627.00 / $32,570.16 / $48,380.29
| Facility | | $15,627.00 | $32,570.16 | $48,380.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,826.69 / $28,473.17 / $41,361.07
| Facility | | $15,826.69 | $28,473.17 | $41,361.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,008.52 / $32,008.52 / $38,867.48
| Facility | | $32,008.52 | $32,008.52 | $38,867.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,327.52 / $28,858.36 / $44,109.33
| Facility | | $10,327.52 | $28,858.36 | $44,109.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,486.40 / $31,757.90 / $42,917.60
| Facility | | $17,486.40 | $31,757.90 | $42,917.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $26,004.25 / $40,499.18
| Facility | | $15,628.00 | $26,004.25 | $40,499.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,262.61 / $21,809.94
| Facility | | $2,621.40 | $15,262.61 | $21,809.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,034.57 / $24,485.21 / $44,413.32
| Facility | | $9,034.57 | $24,485.21 | $44,413.32 |