- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,740.00 / $32,940.00 / $44,982.40
| Facility | | $17,740.00 | $32,940.00 | $44,982.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,422.00 / $20,136.00 / $30,041.00
| Facility | | $9,422.00 | $20,136.00 | $30,041.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,415.75 / $26,972.13 / $44,825.27
| Facility | | $16,415.75 | $26,972.13 | $44,825.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,199.87 / $33,199.87 / $40,314.12
| Facility | | $33,199.87 | $33,199.87 | $40,314.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,611.37 / $27,043.06 / $44,858.52
| Facility | | $26,611.37 | $27,043.06 | $44,858.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,137.20 / $30,790.20 / $44,515.00
| Facility | | $18,137.20 | $30,790.20 | $44,515.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,060.63 / $26,057.41 / $42,006.57
| Facility | | $15,060.63 | $26,057.41 | $42,006.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $9,270.96 / $12,901.69
| Facility | | $2,621.40 | $9,270.96 | $12,901.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,207.64 / $25,396.55 / $46,066.39
| Facility | | $9,207.64 | $25,396.55 | $46,066.39 |