- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,855.10 / $25,738.20 / $35,147.80
| Facility | | $14,855.10 | $25,738.20 | $35,147.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,801.00 / $26,511.66 / $39,556.37
| Facility | | $13,801.00 | $26,511.66 | $39,556.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,964.36 / $23,864.00 / $35,025.03
| Facility | | $12,964.36 | $23,864.00 | $35,025.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,941.32 / $25,941.32 / $31,500.17
| Facility | | $25,941.32 | $25,941.32 | $31,500.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,815.55 / $24,030.79 / $32,035.83
| Facility | | $16,815.55 | $24,030.79 | $32,035.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,197.00 / $25,188.80 / $34,782.60
| Facility | | $14,197.00 | $25,188.80 | $34,782.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,826.75 / $21,253.05 / $32,822.58
| Facility | | $12,826.75 | $21,253.05 | $32,822.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,854.35 / $16,732.84
| Facility | | $2,621.40 | $11,854.35 | $16,732.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,322.07 / $19,844.05 / $35,994.80
| Facility | | $7,322.07 | $19,844.05 | $35,994.80 |