- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,816.40 / $28,251.10 / $38,579.30
| Facility | | $15,816.40 | $28,251.10 | $38,579.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,386.00 / $26,976.13 / $42,621.31
| Facility | | $13,386.00 | $26,976.13 | $42,621.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,966.21 / $25,432.00 / $38,444.54
| Facility | | $14,966.21 | $25,432.00 | $38,444.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,473.98 / $28,473.98 / $34,575.55
| Facility | | $28,473.98 | $28,473.98 | $34,575.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,181.68 / $31,040.48 / $46,516.03
| Facility | | $18,181.68 | $31,040.48 | $46,516.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,583.10 / $27,648.00 / $38,178.40
| Facility | | $15,583.10 | $27,648.00 | $38,178.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,079.04 / $23,362.56 / $37,374.83
| Facility | | $14,079.04 | $23,362.56 | $37,374.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,846.74 / $19,704.86
| Facility | | $2,621.40 | $13,846.74 | $19,704.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,036.93 / $23,792.83 / $39,508.99
| Facility | | $8,036.93 | $23,792.83 | $39,508.99 |