- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,074.20 / $38,206.00 / $52,173.60
| Facility | | $21,074.20 | $38,206.00 | $52,173.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,307.00 / $35,802.32 / $51,052.00
| Facility | | $18,307.00 | $35,802.32 | $51,052.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,239.89 / $35,378.33 / $50,547.15
| Facility | | $20,239.89 | $35,378.33 | $50,547.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,507.44 / $38,507.44 / $46,759.03
| Facility | | $38,507.44 | $38,507.44 | $46,759.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,111.68 / $39,551.93 / $56,354.33
| Facility | | $17,111.68 | $39,551.93 | $56,354.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,323.80 / $35,745.19 / $51,631.50
| Facility | | $19,323.80 | $35,745.19 | $51,631.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,040.09 / $31,594.89 / $48,722.03
| Facility | | $19,040.09 | $31,594.89 | $48,722.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $16,377.50 / $23,466.00
| Facility | | $2,621.40 | $16,377.50 | $23,466.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,868.92 / $29,456.62 / $53,430.88
| Facility | | $10,868.92 | $29,456.62 | $53,430.88 |