- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,506.50 / $29,730.90 / $42,138.20
| Facility | | $16,506.50 | $29,730.90 | $42,138.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,974.00 / $35,639.73 / $49,416.00
| Facility | | $15,974.00 | $35,639.73 | $49,416.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,619.25 / $26,434.24 / $40,122.04
| Facility | | $15,619.25 | $26,434.24 | $40,122.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,716.43 / $29,716.43 / $36,084.23
| Facility | | $29,716.43 | $29,716.43 | $36,084.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,772.29 / $31,915.71 / $45,931.01
| Facility | | $19,772.29 | $31,915.71 | $45,931.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,263.10 / $29,483.80 / $42,090.00
| Facility | | $16,263.10 | $29,483.80 | $42,090.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,693.36 / $24,345.90 / $38,517.37
| Facility | | $14,693.36 | $24,345.90 | $38,517.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,251.92 / $20,307.27
| Facility | | $2,621.40 | $14,251.92 | $20,307.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,387.61 / $22,731.86 / $41,232.94
| Facility | | $8,387.61 | $22,731.86 | $41,232.94 |