- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $24,547.09 / $34,673.69
| Facility | | $14,125.38 | $24,547.09 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $26,302.68 / $39,810.72
| Facility | | $16,218.10 | $26,302.68 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $22,908.68 / $36,307.81
| Facility | | $12,589.25 | $22,908.68 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $26,302.68 / $31,622.78
| Facility | | $26,302.68 | $26,302.68 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $25,118.86 / $30,902.95
| Facility | | $12,302.69 | $25,118.86 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,379.62 / $31,622.78
| Facility | | $15,848.93 | $21,379.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $22,908.68 / $33,884.42
| Facility | | $13,489.63 | $22,908.68 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $11,481.54 / $19,498.45
| Facility | | $10,000.00 | $11,481.54 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $17,782.79 / $31,622.78
| Facility | | $5,370.32 | $17,782.79 | $31,622.78 |