- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,436.10 / $25,012.30 / $34,156.50
| Facility | | $14,436.10 | $25,012.30 | $34,156.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,551.00 / $27,311.52 / $38,421.65
| Facility | | $12,551.00 | $27,311.52 | $38,421.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,250.46 / $22,425.27 / $33,460.28
| Facility | | $13,250.46 | $22,425.27 | $33,460.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,209.69 / $25,209.69 / $30,611.77
| Facility | | $25,209.69 | $25,209.69 | $30,611.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,066.10 / $28,906.05 / $38,137.99
| Facility | | $21,066.10 | $28,906.05 | $38,137.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,796.60 / $25,012.30 / $34,156.50
| Facility | | $13,796.60 | $25,012.30 | $34,156.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,598.73 / $20,653.65 / $32,250.29
| Facility | | $12,598.73 | $20,653.65 | $32,250.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,458.54 / $17,640.90
| Facility | | $2,621.40 | $12,458.54 | $17,640.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,115.56 / $19,284.39 / $34,979.62
| Facility | | $7,115.56 | $19,284.39 | $34,979.62 |