- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,014.50 / $30,391.20 / $41,501.80
| Facility | | $17,014.50 | $30,391.20 | $41,501.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,136.00 / $30,203.63 / $45,486.17
| Facility | | $15,136.00 | $30,203.63 | $45,486.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,308.04 / $27,247.76 / $41,356.81
| Facility | | $15,308.04 | $27,247.76 | $41,356.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,630.95 / $30,630.95 / $37,194.73
| Facility | | $30,630.95 | $30,630.95 | $37,194.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,901.94 / $33,681.19 / $37,500.99
| Facility | | $8,901.94 | $33,681.19 | $37,500.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,763.59 / $29,742.40 / $41,070.50
| Facility | | $16,763.59 | $29,742.40 | $41,070.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,686.00 / $24,885.09 / $38,756.21
| Facility | | $14,686.00 | $24,885.09 | $38,756.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,867.67 / $19,735.98
| Facility | | $2,621.40 | $13,867.67 | $19,735.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,645.74 / $23,431.43 / $42,501.89
| Facility | | $8,645.74 | $23,431.43 | $42,501.89 |