- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,176.40 / $27,513.70 / $37,572.40
| Facility | | $15,176.40 | $27,513.70 | $37,572.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,418.05 / $42,418.05 / $42,418.05
| Facility | | $42,418.05 | $42,418.05 | $42,418.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,266.00 / $29,569.00 / $41,341.00
| Facility | | $14,266.00 | $29,569.00 | $41,341.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,575.60 / $25,432.00 / $37,441.16
| Facility | | $14,575.60 | $25,432.00 | $37,441.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,730.83 / $27,730.83 / $33,673.15
| Facility | | $27,730.83 | $27,730.83 | $33,673.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,876.89 / $28,703.33 / $43,924.10
| Facility | | $17,876.89 | $28,703.33 | $43,924.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,149.50 / $27,513.70 / $37,572.40
| Facility | | $15,149.50 | $27,513.70 | $37,572.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,711.58 / $22,752.81 / $35,086.78
| Facility | | $13,711.58 | $22,752.81 | $35,086.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,935.48 / $18,350.00
| Facility | | $2,621.40 | $12,935.48 | $18,350.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,827.17 / $23,171.85 / $39,398.37
| Facility | | $7,827.17 | $23,171.85 | $39,398.37 |