- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,089.80 / $24,412.30 / $33,337.19
| Facility | | $14,089.80 | $24,412.30 | $33,337.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,593.00 / $24,125.58 / $36,718.36
| Facility | | $11,593.00 | $24,125.58 | $36,718.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,571.00 / $22,890.76 / $33,220.71
| Facility | | $12,571.00 | $22,890.76 | $33,220.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,604.95 / $24,604.95 / $29,877.44
| Facility | | $24,604.95 | $24,604.95 | $29,877.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,620.63 / $27,385.71 / $34,985.76
| Facility | | $17,620.63 | $27,385.71 | $34,985.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,465.70 / $23,891.20 / $32,990.80
| Facility | | $13,465.70 | $23,891.20 | $32,990.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,165.98 / $20,188.06 / $31,131.73
| Facility | | $12,165.98 | $20,188.06 | $31,131.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,095.86 / $15,543.60
| Facility | | $2,621.40 | $11,095.86 | $15,543.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,944.87 / $18,821.79 / $34,140.51
| Facility | | $6,944.87 | $18,821.79 | $34,140.51 |