- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,273.50 / $30,853.80 / $42,133.60
| Facility | | $17,273.50 | $30,853.80 | $42,133.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,790.00 / $30,267.15 / $46,252.40
| Facility | | $13,790.00 | $30,267.15 | $46,252.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,628.00 / $27,662.58 / $39,782.18
| Facility | | $15,628.00 | $27,662.58 | $39,782.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,097.28 / $31,097.28 / $37,760.98
| Facility | | $31,097.28 | $31,097.28 | $37,760.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,543.08 / $31,241.51 / $64,898.01
| Facility | | $10,543.08 | $31,241.51 | $64,898.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,018.80 / $29,634.70 / $41,695.80
| Facility | | $17,018.80 | $29,634.70 | $41,695.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,376.13 / $25,477.20 / $39,716.83
| Facility | | $15,376.13 | $25,477.20 | $39,716.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,678.77 / $20,941.90
| Facility | | $2,621.40 | $14,678.77 | $20,941.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,777.37 / $23,788.16 / $43,148.94
| Facility | | $8,777.37 | $23,788.16 | $43,148.94 |