- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,846.40 / $28,728.50 / $40,373.40
| Facility | | $15,846.40 | $28,728.50 | $40,373.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,362.00 / $34,744.00 / $46,266.00
| Facility | | $16,362.00 | $34,744.00 | $46,266.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,379.01 / $25,757.04 / $37,541.37
| Facility | | $15,379.01 | $25,757.04 | $37,541.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,955.14 / $28,955.14 / $35,159.81
| Facility | | $28,955.14 | $28,955.14 | $35,159.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,923.65 / $36,987.12 / $47,889.55
| Facility | | $25,923.65 | $36,987.12 | $47,889.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,818.30 / $28,728.50 / $39,618.00
| Facility | | $15,818.30 | $28,728.50 | $39,618.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,470.54 / $23,722.20 / $37,041.78
| Facility | | $14,470.54 | $23,722.20 | $37,041.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,905.80 / $19,792.66
| Facility | | $2,621.40 | $13,905.80 | $19,792.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,172.74 / $22,149.51 / $40,176.62
| Facility | | $8,172.74 | $22,149.51 | $40,176.62 |