- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,374.09 / $31,498.00 / $43,013.30
| Facility | | $17,374.09 | $31,498.00 | $43,013.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,211.00 / $24,346.00 / $36,855.26
| Facility | | $13,211.00 | $24,346.00 | $36,855.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,865.55 / $28,240.10 / $42,863.00
| Facility | | $15,865.55 | $28,240.10 | $42,863.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,746.51 / $31,746.51 / $38,549.33
| Facility | | $31,746.51 | $31,746.51 | $38,549.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,006.51 / $52,595.20 / $64,313.41
| Facility | | $32,006.51 | $52,595.20 | $64,313.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,980.00 / $29,469.30 / $42,566.30
| Facility | | $16,980.00 | $29,469.30 | $42,566.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,533.00 / $26,009.10 / $40,167.68
| Facility | | $15,533.00 | $26,009.10 | $40,167.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $13,683.78 / $19,462.57
| Facility | | $2,621.40 | $13,683.78 | $19,462.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,804.56 / $24,284.79 / $44,049.78
| Facility | | $8,804.56 | $24,284.79 | $44,049.78 |