- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,396.59 / $31,538.90 / $43,069.10
| Facility | | $17,396.59 | $31,538.90 | $43,069.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,181.00 / $25,814.53 / $39,126.32
| Facility | | $13,181.00 | $25,814.53 | $39,126.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,886.14 / $28,276.75 / $42,918.62
| Facility | | $15,886.14 | $28,276.75 | $42,918.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,787.71 / $31,787.71 / $38,599.36
| Facility | | $31,787.71 | $31,787.71 | $38,599.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,975.04 / $50,665.94 / $95,324.42
| Facility | | $23,975.04 | $50,665.94 | $95,324.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,365.80 / $29,507.50 / $42,621.50
| Facility | | $17,365.80 | $29,507.50 | $42,621.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,734.93 / $26,042.85 / $41,845.91
| Facility | | $14,734.93 | $26,042.85 | $41,845.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $15,432.30 / $22,062.24
| Facility | | $2,621.40 | $15,432.30 | $22,062.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,815.99 / $25,404.00 / $44,106.94
| Facility | | $8,815.99 | $25,404.00 | $44,106.94 |