- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,992.70 / $32,619.50 / $44,544.80
| Facility | | $17,992.70 | $32,619.50 | $44,544.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,776.00 / $35,273.00 / $48,904.95
| Facility | | $16,776.00 | $35,273.00 | $48,904.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,280.43 / $29,245.64 / $44,389.21
| Facility | | $17,280.43 | $29,245.64 | $44,389.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,876.91 / $32,876.91 / $39,921.96
| Facility | | $32,876.91 | $32,876.91 | $39,921.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,256.30 / $34,950.60 / $46,831.50
| Facility | | $24,256.30 | $34,950.60 | $46,831.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,960.80 / $32,619.50 / $44,544.80
| Facility | | $17,960.80 | $32,619.50 | $44,544.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,256.07 / $26,709.74 / $42,520.47
| Facility | | $16,256.07 | $26,709.74 | $42,520.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,671.52 / $22,417.91
| Facility | | $2,621.40 | $15,671.52 | $22,417.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,279.68 / $25,149.50 / $45,618.25
| Facility | | $9,279.68 | $25,149.50 | $45,618.25 |