- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,067.40 / $29,129.00 / $41,631.19
| Facility | | $16,067.40 | $29,129.00 | $41,631.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,096.48 / $37,096.48 / $37,096.48
| Facility | | $37,096.48 | $37,096.48 | $37,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,238.00 / $30,405.21 / $43,147.00
| Facility | | $15,238.00 | $30,405.21 | $43,147.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,593.44 / $26,116.16 / $39,639.26
| Facility | | $15,593.44 | $26,116.16 | $39,639.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,358.85 / $29,358.85 / $35,650.04
| Facility | | $29,358.85 | $29,358.85 | $35,650.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,141.37 / $31,667.10 / $47,740.08
| Facility | | $23,141.37 | $31,667.10 | $47,740.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,627.30 / $27,978.00 / $39,778.19
| Facility | | $15,627.30 | $27,978.00 | $39,778.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,672.30 / $24,052.95 / $37,146.66
| Facility | | $14,672.30 | $24,052.95 | $37,146.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,670.32 / $19,442.56
| Facility | | $2,621.40 | $13,670.32 | $19,442.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,286.69 / $22,458.33 / $40,736.79
| Facility | | $8,286.69 | $22,458.33 | $40,736.79 |