- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,465.80 / $26,225.40 / $37,481.40
| Facility | | $14,465.80 | $26,225.40 | $37,481.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,950.00 / $32,373.00 / $43,111.00
| Facility | | $13,950.00 | $32,373.00 | $43,111.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,039.08 / $24,284.47 / $34,600.71
| Facility | | $14,039.08 | $24,284.47 | $34,600.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,432.36 / $26,432.36 / $32,096.44
| Facility | | $26,432.36 | $26,432.36 | $32,096.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,753.52 / $23,428.68 / $36,891.96
| Facility | | $11,753.52 | $23,428.68 | $36,891.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,440.10 / $26,225.40 / $36,914.00
| Facility | | $14,440.10 | $26,225.40 | $36,914.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,209.76 / $23,467.98 / $33,814.43
| Facility | | $13,209.76 | $23,467.98 | $33,814.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,864.46 / $18,244.41
| Facility | | $2,621.40 | $12,864.46 | $18,244.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,460.67 / $19,663.06 / $36,676.14
| Facility | | $7,460.67 | $19,663.06 | $36,676.14 |