- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,290.10 / $29,532.80 / $42,133.00
| Facility | | $16,290.10 | $29,532.80 | $42,133.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,354.00 / $32,785.51 / $52,018.70
| Facility | | $16,354.00 | $32,785.51 | $52,018.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,809.61 / $26,478.21 / $40,634.97
| Facility | | $15,809.61 | $26,478.21 | $40,634.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,765.86 / $29,765.86 / $36,144.26
| Facility | | $29,765.86 | $29,765.86 | $36,144.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,283.26 / $44,283.26 / $96,183.62
| Facility | | $44,283.26 | $44,283.26 | $96,183.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,843.90 / $29,532.80 / $41,503.80
| Facility | | $15,843.90 | $29,532.80 | $41,503.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,875.70 / $24,182.28 / $40,634.97
| Facility | | $14,875.70 | $24,182.28 | $40,634.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,081.70 / $21,540.97
| Facility | | $2,621.40 | $15,081.70 | $21,540.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,401.57 / $22,769.67 / $41,301.53
| Facility | | $8,401.57 | $22,769.67 | $41,301.53 |