- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,205.30 / $29,379.20 / $40,119.80
| Facility | | $16,205.30 | $29,379.20 | $40,119.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,805.00 / $27,947.00 / $41,700.00
| Facility | | $14,805.00 | $27,947.00 | $41,700.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,798.30 / $26,340.43 / $40,423.51
| Facility | | $14,798.30 | $26,340.43 | $40,423.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,610.97 / $29,610.97 / $35,956.17
| Facility | | $29,610.97 | $29,610.97 | $35,956.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,121.65 / $32,121.65 / $36,952.12
| Facility | | $32,121.65 | $32,121.65 | $36,952.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,176.60 / $28,218.30 / $39,702.90
| Facility | | $16,176.60 | $28,218.30 | $39,702.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,858.00 / $24,259.50 / $40,423.51
| Facility | | $13,858.00 | $24,259.50 | $40,423.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,518.27 / $22,190.06
| Facility | | $2,621.40 | $15,518.27 | $22,190.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,357.85 / $22,651.19 / $41,086.61
| Facility | | $8,357.85 | $22,651.19 | $41,086.61 |