- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,090.00 / $28,743.40 / $34,707.00
| Facility | | $15,090.00 | $28,743.40 | $34,707.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $25,954.80 / $44,251.27
| Facility | | $6,916.00 | $25,954.80 | $44,251.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,857.54 / $24,175.98 / $29,298.02
| Facility | | $20,857.54 | $24,175.98 | $29,298.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,683.27 / $20,626.02 / $27,497.80
| Facility | | $13,683.27 | $20,626.02 | $27,497.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,144.01 / $25,809.21 / $39,259.08
| Facility | | $15,144.01 | $25,809.21 | $39,259.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,781.02 / $23,258.43 / $30,010.17
| Facility | | $16,781.02 | $23,258.43 | $30,010.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $23,665.95 / $34,091.33
| Facility | | $3,775.00 | $23,665.95 | $34,091.33 |