- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,918.50 / $26,647.20 / $38,084.19
| Facility | | $14,918.50 | $26,647.20 | $38,084.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,730.00 / $26,175.00 / $39,051.00
| Facility | | $13,730.00 | $26,175.00 | $39,051.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,116.56 / $24,937.47 / $36,664.60
| Facility | | $14,116.56 | $24,937.47 | $36,664.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,857.49 / $26,857.49 / $32,612.67
| Facility | | $26,857.49 | $26,857.49 | $32,612.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,494.63 / $25,821.69 / $32,309.23
| Facility | | $20,494.63 | $25,821.69 | $32,309.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,698.40 / $26,647.20 / $37,448.60
| Facility | | $14,698.40 | $26,647.20 | $37,448.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,422.23 / $23,845.44 / $34,358.29
| Facility | | $13,422.23 | $23,845.44 | $34,358.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,940.30 / $16,868.45
| Facility | | $2,621.40 | $11,940.30 | $16,868.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,448.64 / $20,381.90 / $37,266.03
| Facility | | $7,448.64 | $20,381.90 | $37,266.03 |