- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,764.40 / $28,579.70 / $39,028.10
| Facility | | $15,764.40 | $28,579.70 | $39,028.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,204.00 / $28,807.00 / $42,355.33
| Facility | | $14,204.00 | $28,807.00 | $42,355.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,140.29 / $25,623.65 / $38,891.73
| Facility | | $15,140.29 | $25,623.65 | $38,891.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,805.19 / $28,805.19 / $34,977.73
| Facility | | $28,805.19 | $28,805.19 | $34,977.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,791.54 / $29,023.71 / $45,860.45
| Facility | | $11,791.54 | $29,023.71 | $45,860.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,736.40 / $27,969.60 / $38,622.50
| Facility | | $15,736.40 | $27,969.60 | $38,622.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,395.60 / $23,599.35 / $37,621.48
| Facility | | $14,395.60 | $23,599.35 | $37,621.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,936.45 / $19,838.24
| Facility | | $2,621.40 | $13,936.45 | $19,838.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,130.41 / $22,034.80 / $39,968.56
| Facility | | $8,130.41 | $22,034.80 | $39,968.56 |