- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,395.00 / $28,406.40 / $38,933.00
| Facility | | $16,395.00 | $28,406.40 | $38,933.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,976.00 / $33,279.72 / $44,133.00
| Facility | | $14,976.00 | $33,279.72 | $44,133.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,048.49 / $25,468.28 / $38,655.90
| Facility | | $15,048.49 | $25,468.28 | $38,655.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,630.53 / $28,630.53 / $34,765.64
| Facility | | $28,630.53 | $28,630.53 | $34,765.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,428.89 / $36,085.74 / $59,740.82
| Facility | | $9,428.89 | $36,085.74 | $59,740.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,668.80 / $28,406.40 / $38,791.40
| Facility | | $15,668.80 | $28,406.40 | $38,791.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,156.44 / $23,491.00 / $36,225.14
| Facility | | $14,156.44 | $23,491.00 | $36,225.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,834.56 / $18,199.96
| Facility | | $2,621.40 | $12,834.56 | $18,199.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,081.11 / $21,901.19 / $39,726.19
| Facility | | $8,081.11 | $21,901.19 | $39,726.19 |