- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,935.20 / $36,141.10 / $49,353.90
| Facility | | $19,935.20 | $36,141.10 | $49,353.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,435.00 / $29,127.00 / $43,995.00
| Facility | | $15,435.00 | $29,127.00 | $43,995.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,524.24 / $32,341.08 / $46,599.45
| Facility | | $16,524.24 | $32,341.08 | $46,599.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,426.26 / $36,426.26 / $44,231.90
| Facility | | $36,426.26 | $36,426.26 | $44,231.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,565.60 / $59,139.62 / $60,405.45
| Facility | | $44,565.60 | $59,139.62 | $60,405.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,899.80 / $33,813.30 / $48,841.00
| Facility | | $19,899.80 | $33,813.30 | $48,841.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,138.19 / $29,593.30 / $46,088.80
| Facility | | $15,138.19 | $29,593.30 | $46,088.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,636.62 / $23,848.34
| Facility | | $2,621.40 | $16,636.62 | $23,848.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,264.62 / $27,864.61 / $50,543.16
| Facility | | $9,264.62 | $27,864.61 | $50,543.16 |