- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,302.60 / $28,482.90 / $39,695.60
| Facility | | $16,302.60 | $28,482.90 | $39,695.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,756.00 / $32,071.00 / $46,343.00
| Facility | | $15,756.00 | $32,071.00 | $46,343.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,120.83 / $25,432.00 / $38,437.87
| Facility | | $15,120.83 | $25,432.00 | $38,437.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,469.04 / $28,469.04 / $34,569.55
| Facility | | $28,469.04 | $28,469.04 | $34,569.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,180.25 / $34,743.69 / $46,485.36
| Facility | | $28,180.25 | $34,743.69 | $46,485.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,580.40 / $28,246.20 / $39,685.00
| Facility | | $15,580.40 | $28,246.20 | $39,685.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,227.61 / $23,358.50 / $37,050.21
| Facility | | $14,227.61 | $23,358.50 | $37,050.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,731.62 / $19,533.70
| Facility | | $2,621.40 | $13,731.62 | $19,533.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,035.53 / $21,777.66 / $39,502.12
| Facility | | $8,035.53 | $21,777.66 | $39,502.12 |