- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,731.00 / $28,988.40 / $40,738.69
| Facility | | $16,731.00 | $28,988.40 | $40,738.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,637.00 / $33,508.26 / $46,926.24
| Facility | | $14,637.00 | $33,508.26 | $46,926.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,518.17 / $25,990.10 / $37,376.94
| Facility | | $15,518.17 | $25,990.10 | $37,376.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,217.14 / $29,217.14 / $35,477.96
| Facility | | $29,217.14 | $29,217.14 | $35,477.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,150.05 / $28,135.22 / $38,479.73
| Facility | | $19,150.05 | $28,135.22 | $38,479.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,989.80 / $28,988.40 / $39,784.00
| Facility | | $15,989.80 | $28,988.40 | $39,784.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,601.48 / $23,936.85 / $36,967.36
| Facility | | $14,601.48 | $23,936.85 | $36,967.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,662.84 / $19,431.45
| Facility | | $2,621.40 | $13,662.84 | $19,431.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,246.69 / $22,349.93 / $40,540.16
| Facility | | $8,246.69 | $22,349.93 | $40,540.16 |