- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,068.20 / $27,317.50 / $37,304.50
| Facility | | $15,068.20 | $27,317.50 | $37,304.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,838.15 / $17,838.15 / $17,838.15
| Facility | | $17,838.15 | $17,838.15 | $17,838.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,562.00 / $29,093.83 / $40,423.00
| Facility | | $13,562.00 | $29,093.83 | $40,423.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,623.72 / $25,295.76 / $36,141.57
| Facility | | $14,623.72 | $25,295.76 | $36,141.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,533.09 / $27,533.09 / $33,433.04
| Facility | | $27,533.09 | $27,533.09 | $33,433.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,732.17 / $26,700.62 / $39,258.42
| Facility | | $14,732.17 | $26,700.62 | $39,258.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,655.50 / $27,317.50 / $37,304.50
| Facility | | $14,655.50 | $27,317.50 | $37,304.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,759.86 / $22,590.57 / $35,507.15
| Facility | | $13,759.86 | $22,590.57 | $35,507.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,185.91 / $18,722.34
| Facility | | $2,621.40 | $13,185.91 | $18,722.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,771.36 / $21,061.69 / $38,203.46
| Facility | | $7,771.36 | $21,061.69 | $38,203.46 |