- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,037.80 / $32,701.30 / $44,656.50
| Facility | | $18,037.80 | $32,701.30 | $44,656.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,208.50 / $26,208.50 / $26,208.50
| Facility | | $26,208.50 | $26,208.50 | $26,208.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,675.00 / $30,771.36 / $46,007.00
| Facility | | $15,675.00 | $30,771.36 | $46,007.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,471.65 / $30,281.03 / $44,500.45
| Facility | | $16,471.65 | $30,281.03 | $44,500.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,959.30 / $32,959.30 / $40,022.00
| Facility | | $32,959.30 | $32,959.30 | $40,022.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,516.09 / $33,238.19 / $44,923.89
| Facility | | $15,516.09 | $33,238.19 | $44,923.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,543.80 / $31,409.10 / $44,192.40
| Facility | | $17,543.80 | $31,409.10 | $44,192.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,278.01 / $27,002.70 / $41,702.17
| Facility | | $15,278.01 | $27,002.70 | $41,702.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,332.88 / $21,914.42
| Facility | | $2,621.40 | $15,332.88 | $21,914.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,302.93 / $27,021.00 / $45,732.57
| Facility | | $9,302.93 | $27,021.00 | $45,732.57 |