- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,102.10 / $24,638.30 / $41,763.80
| Facility | | $14,102.10 | $24,638.30 | $41,763.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,975.61 / $32,975.61 / $32,975.61
| Facility | | $32,975.61 | $32,975.61 | $32,975.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.00 / $29,127.00 / $45,066.36
| Facility | | $14,125.00 | $29,127.00 | $45,066.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,079.86 / $23,314.20 / $36,525.58
| Facility | | $13,079.86 | $23,314.20 | $36,525.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,626.37 / $24,626.37 / $29,903.45
| Facility | | $24,626.37 | $24,626.37 | $29,903.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,241.26 / $30,307.49 / $46,501.07
| Facility | | $16,241.26 | $30,307.49 | $46,501.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,477.40 / $24,638.30 / $42,242.00
| Facility | | $13,477.40 | $24,638.30 | $42,242.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,307.21 / $21,864.54 / $33,618.78
| Facility | | $12,307.21 | $21,864.54 | $33,618.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,273.89 / $17,366.38
| Facility | | $2,621.40 | $12,273.89 | $17,366.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,950.92 / $21,420.67 / $36,370.15
| Facility | | $6,950.92 | $21,420.67 | $36,370.15 |