- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,577.09 / $33,678.90 / $45,991.60
| Facility | | $18,577.09 | $33,678.90 | $45,991.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,337.00 / $28,052.94 / $43,558.06
| Facility | | $15,337.00 | $28,052.94 | $43,558.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,661.00 / $30,195.48 / $46,300.11
| Facility | | $16,661.00 | $30,195.48 | $46,300.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,944.68 / $33,944.68 / $41,218.54
| Facility | | $33,944.68 | $33,944.68 | $41,218.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,546.48 / $24,260.89 / $55,837.90
| Facility | | $9,546.48 | $24,260.89 | $55,837.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,577.09 / $31,509.80 / $45,513.60
| Facility | | $18,577.09 | $31,509.80 | $45,513.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,734.77 / $27,851.20 / $46,300.11
| Facility | | $15,734.77 | $27,851.20 | $46,300.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $17,017.77 / $24,410.73
| Facility | | $2,621.40 | $17,017.77 | $24,410.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,633.45 / $25,966.30 / $47,099.84
| Facility | | $8,633.45 | $25,966.30 | $47,099.84 |