- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,483.30 / $25,094.10 / $34,268.19
| Facility | | $14,483.30 | $25,094.10 | $34,268.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,467.00 / $23,930.00 / $35,703.00
| Facility | | $11,467.00 | $23,930.00 | $35,703.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,639.90 / $23,530.02 / $34,148.46
| Facility | | $12,639.90 | $23,530.02 | $34,148.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,292.08 / $25,292.08 / $30,711.81
| Facility | | $25,292.08 | $25,292.08 | $30,711.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,510.00 / $31,796.96 / $50,622.70
| Facility | | $7,510.00 | $31,796.96 | $50,622.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,841.70 / $24,558.40 / $33,912.10
| Facility | | $13,841.70 | $24,558.40 | $33,912.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,723.93 / $20,751.84 / $32,273.48
| Facility | | $11,723.93 | $20,751.84 | $32,273.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,037.66 / $17,015.16
| Facility | | $2,621.40 | $12,037.66 | $17,015.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,138.82 / $19,347.41 / $35,093.94
| Facility | | $7,138.82 | $19,347.41 | $35,093.94 |