- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,137.30 / $22,004.10 / $30,048.60
| Facility | | $12,137.30 | $22,004.10 | $30,048.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,870.00 / $21,096.23 / $32,401.00
| Facility | | $10,870.00 | $21,096.23 | $32,401.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,083.49 / $20,632.65 / $29,943.58
| Facility | | $11,083.49 | $20,632.65 | $29,943.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,177.74 / $22,177.74 / $26,930.11
| Facility | | $22,177.74 | $22,177.74 | $26,930.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,714.72 / $25,477.09 / $34,382.39
| Facility | | $15,714.72 | $25,477.09 | $34,382.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,115.80 / $21,534.40 / $30,048.60
| Facility | | $12,115.80 | $21,534.40 | $30,048.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,422.00 / $18,169.65 / $29,452.98
| Facility | | $10,422.00 | $18,169.65 | $29,452.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,084.75 / $15,528.04
| Facility | | $2,621.40 | $11,084.75 | $15,528.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,259.78 / $16,965.07 / $30,772.66
| Facility | | $6,259.78 | $16,965.07 | $30,772.66 |