- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,310.90 / $26,527.90 / $36,226.19
| Facility | | $15,310.90 | $26,527.90 | $36,226.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,073.00 / $28,893.33 / $39,575.00
| Facility | | $14,073.00 | $28,893.33 | $39,575.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,201.00 / $24,564.54 / $36,099.60
| Facility | | $14,201.00 | $24,564.54 | $36,099.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,737.20 / $26,737.20 / $32,466.60
| Facility | | $26,737.20 | $26,737.20 | $32,466.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,356.26 / $33,992.21 / $53,845.40
| Facility | | $25,356.26 | $33,992.21 | $53,845.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,632.60 / $26,527.90 / $36,226.19
| Facility | | $14,632.60 | $26,527.90 | $36,226.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,362.11 / $21,937.55 / $33,966.19
| Facility | | $13,362.11 | $21,937.55 | $33,966.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,637.20 / $17,906.54
| Facility | | $2,621.40 | $12,637.20 | $17,906.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,546.71 / $23,256.73 / $37,099.12
| Facility | | $7,546.71 | $23,256.73 | $37,099.12 |