- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,049.90 / $25,095.70 / $35,268.19
| Facility | | $14,049.90 | $25,095.70 | $35,268.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,498.00 / $27,754.23 / $38,890.00
| Facility | | $13,498.00 | $27,754.23 | $38,890.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,294.64 / $23,531.55 / $34,150.68
| Facility | | $13,294.64 | $23,531.55 | $34,150.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,293.73 / $25,293.73 / $30,713.82
| Facility | | $25,293.73 | $25,293.73 | $30,713.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,196.03 / $27,319.16 / $37,777.79
| Facility | | $18,196.03 | $27,319.16 | $37,777.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,842.60 / $25,095.70 / $34,305.00
| Facility | | $13,842.60 | $25,095.70 | $34,305.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,506.55 / $20,753.20 / $32,359.91
| Facility | | $12,506.55 | $20,753.20 | $32,359.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,068.31 / $17,060.73
| Facility | | $2,621.40 | $12,068.31 | $17,060.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,139.29 / $19,348.68 / $35,096.24
| Facility | | $7,139.29 | $19,348.68 | $35,096.24 |