- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,611.80 / $26,099.50 / $35,641.19
| Facility | | $14,611.80 | $26,099.50 | $35,641.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,038.70 / $24,038.70 / $24,038.70
| Facility | | $24,038.70 | $24,038.70 | $24,038.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,543.00 / $27,444.12 / $40,115.00
| Facility | | $13,543.00 | $27,444.12 | $40,115.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,971.69 / $24,424.92 / $35,516.71
| Facility | | $13,971.69 | $24,424.92 | $35,516.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,305.48 / $26,305.48 / $31,942.37
| Facility | | $26,305.48 | $26,305.48 | $31,942.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,401.37 / $33,155.26 / $61,675.37
| Facility | | $19,401.37 | $33,155.26 | $61,675.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,396.30 / $26,091.00 / $35,270.90
| Facility | | $14,396.30 | $26,091.00 | $35,270.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,146.35 / $23,355.33 / $33,283.33
| Facility | | $13,146.35 | $23,355.33 | $33,283.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,347.15 / $17,475.30
| Facility | | $2,621.40 | $12,347.15 | $17,475.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,424.86 / $21,980.83 / $36,500.08
| Facility | | $7,424.86 | $21,980.83 | $36,500.08 |