- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,550.60 / $28,192.20 / $38,499.00
| Facility | | $15,550.60 | $28,192.20 | $38,499.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,962.00 / $20,946.00 / $34,649.53
| Facility | | $10,962.00 | $20,946.00 | $34,649.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,200.43 / $25,432.00 / $38,364.44
| Facility | | $14,200.43 | $25,432.00 | $38,364.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,414.66 / $28,414.66 / $34,503.51
| Facility | | $28,414.66 | $28,414.66 | $34,503.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,257.80 / $40,171.26 / $58,540.65
| Facility | | $20,257.80 | $40,171.26 | $58,540.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,124.70 / $26,352.30 / $38,098.90
| Facility | | $15,124.70 | $26,352.30 | $38,098.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,920.08 / $26,954.77 / $30,661.19
| Facility | | $20,920.08 | $26,954.77 | $30,661.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,171.38 / $23,313.89 / $35,952.01
| Facility | | $13,171.38 | $23,313.89 | $35,952.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $12,871.93 / $18,255.53
| Facility | | $2,621.40 | $12,871.93 | $18,255.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,880.51 / $21,736.06 / $39,426.68
| Facility | | $7,880.51 | $21,736.06 | $39,426.68 |