- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,408.90 / $24,309.30 / $33,196.50
| Facility | | $13,408.90 | $24,309.30 | $33,196.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,058.00 / $26,238.94 / $37,846.71
| Facility | | $12,058.00 | $26,238.94 | $37,846.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,878.04 / $21,794.98 / $32,667.68
| Facility | | $12,878.04 | $21,794.98 | $32,667.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,501.14 / $24,501.14 / $29,751.38
| Facility | | $24,501.14 | $24,501.14 | $29,751.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,119.88 / $24,527.81 / $62,404.18
| Facility | | $8,119.88 | $24,527.81 | $62,404.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,385.10 / $24,309.30 / $33,034.00
| Facility | | $13,385.10 | $24,309.30 | $33,034.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,114.65 / $20,073.15 / $31,343.85
| Facility | | $12,114.65 | $20,073.15 | $31,343.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,178.20 / $17,224.11
| Facility | | $2,621.40 | $12,178.20 | $17,224.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,915.57 / $18,742.37 / $33,996.48
| Facility | | $6,915.57 | $18,742.37 | $33,996.48 |