- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,520.70 / $31,295.30 / $42,736.40
| Facility | | $17,520.70 | $31,295.30 | $42,736.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,019.33 / $29,019.33 / $29,019.33
| Facility | | $29,019.33 | $29,019.33 | $29,019.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,594.00 / $32,393.00 / $45,788.75
| Facility | | $15,594.00 | $32,393.00 | $45,788.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,753.08 / $28,058.34 / $42,587.12
| Facility | | $16,753.08 | $28,058.34 | $42,587.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,542.19 / $31,542.19 / $38,301.23
| Facility | | $31,542.19 | $31,542.19 | $38,301.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,456.52 / $34,488.91 / $43,337.13
| Facility | | $17,456.52 | $34,488.91 | $43,337.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,262.30 / $31,295.30 / $42,292.30
| Facility | | $17,262.30 | $31,295.30 | $42,292.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,763.44 / $25,841.70 / $39,909.16
| Facility | | $15,763.44 | $25,841.70 | $39,909.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,527.01 / $20,716.28
| Facility | | $2,621.40 | $14,527.01 | $20,716.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,902.94 / $27,556.82 / $56,463.00
| Facility | | $8,902.94 | $27,556.82 | $56,463.00 |