- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,908.70 / $28,841.30 / $40,354.00
| Facility | | $15,908.70 | $28,841.30 | $40,354.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,009.00 / $31,164.97 / $45,745.00
| Facility | | $15,009.00 | $31,164.97 | $45,745.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,278.87 / $25,858.18 / $37,212.51
| Facility | | $15,278.87 | $25,858.18 | $37,212.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,068.84 / $29,068.84 / $35,297.87
| Facility | | $29,068.84 | $29,068.84 | $35,297.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,054.11 / $26,493.77 / $36,727.48
| Facility | | $14,054.11 | $26,493.77 | $36,727.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,880.40 / $28,841.30 / $39,385.30
| Facility | | $15,880.40 | $28,841.30 | $39,385.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,373.16 / $23,815.35 / $37,187.23
| Facility | | $14,373.16 | $23,815.35 | $37,187.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,789.18 / $19,619.28
| Facility | | $2,621.40 | $13,789.18 | $19,619.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,204.83 / $22,236.48 / $40,334.37
| Facility | | $8,204.83 | $22,236.48 | $40,334.37 |