- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,199.70 / $28,068.00 / $38,329.30
| Facility | | $16,199.70 | $28,068.00 | $38,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,084.00 / $28,103.81 / $41,654.97
| Facility | | $14,084.00 | $28,103.81 | $41,654.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,869.20 / $25,990.64 / $36,190.14
| Facility | | $14,869.20 | $25,990.64 | $36,190.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,289.43 / $28,289.43 / $34,351.44
| Facility | | $28,289.43 | $28,289.43 | $34,351.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,799.02 / $32,856.44 / $50,512.64
| Facility | | $25,799.02 | $32,856.44 | $50,512.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,482.10 / $27,468.80 / $37,931.00
| Facility | | $15,482.10 | $27,468.80 | $37,931.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,137.85 / $23,211.14 / $35,793.56
| Facility | | $14,137.85 | $23,211.14 | $35,793.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,833.81 / $18,198.84
| Facility | | $2,621.40 | $12,833.81 | $18,198.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,967.12 / $21,640.26 / $39,252.92
| Facility | | $7,967.12 | $21,640.26 | $39,252.92 |