- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,244.70 / $24,011.80 / $32,790.19
| Facility | | $13,244.70 | $24,011.80 | $32,790.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,641.00 / $25,340.63 / $36,223.00
| Facility | | $12,641.00 | $25,340.63 | $36,223.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,854.06 / $21,528.20 / $31,767.98
| Facility | | $12,854.06 | $21,528.20 | $31,767.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,201.24 / $24,201.24 / $29,387.22
| Facility | | $24,201.24 | $24,201.24 | $29,387.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,367.95 / $12,487.10 / $42,673.70
| Facility | | $7,367.95 | $12,487.10 | $42,673.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,221.20 / $24,011.80 / $32,790.19
| Facility | | $13,221.20 | $24,011.80 | $32,790.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,094.74 / $19,827.45 / $30,669.29
| Facility | | $12,094.74 | $19,827.45 | $30,669.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,504.21 / $16,180.46
| Facility | | $2,621.40 | $11,504.21 | $16,180.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,830.92 / $18,512.96 / $33,580.36
| Facility | | $6,830.92 | $18,512.96 | $33,580.36 |