- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,466.09 / $31,664.70 / $43,241.00
| Facility | | $17,466.09 | $31,664.70 | $43,241.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,259.00 / $28,670.67 / $42,758.00
| Facility | | $15,259.00 | $28,670.67 | $42,758.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $28,389.61 / $41,850.12
| Facility | | $15,628.00 | $28,389.61 | $41,850.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,914.59 / $31,914.59 / $38,753.43
| Facility | | $31,914.59 | $31,914.59 | $38,753.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,943.20 / $30,994.50 / $46,623.97
| Facility | | $12,943.20 | $30,994.50 | $46,623.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,987.70 / $30,413.60 / $42,791.70
| Facility | | $16,987.70 | $30,413.60 | $42,791.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,012.00 / $25,927.94 / $40,380.33
| Facility | | $15,012.00 | $25,927.94 | $40,380.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,433.80 / $22,064.47
| Facility | | $2,621.40 | $15,433.80 | $22,064.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,851.18 / $24,219.68 / $44,283.00
| Facility | | $8,851.18 | $24,219.68 | $44,283.00 |