- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,807.80 / $22,877.20 / $32,150.30
| Facility | | $12,807.80 | $22,877.20 | $32,150.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,470.00 / $26,107.83 / $35,898.44
| Facility | | $12,470.00 | $26,107.83 | $35,898.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,119.34 / $21,451.27 / $31,131.63
| Facility | | $12,119.34 | $21,451.27 | $31,131.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,057.67 / $23,057.67 / $27,998.59
| Facility | | $23,057.67 | $23,057.67 | $27,998.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,951.16 / $34,071.05 / $43,654.01
| Facility | | $22,951.16 | $34,071.05 | $43,654.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,618.90 / $22,877.20 / $31,329.00
| Facility | | $12,618.90 | $22,877.20 | $31,329.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,400.92 / $18,918.54 / $30,207.64
| Facility | | $11,400.92 | $18,918.54 | $30,207.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $11,342.88 / $15,925.94
| Facility | | $2,621.40 | $11,342.88 | $15,925.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,508.14 / $17,638.18 / $31,993.60
| Facility | | $6,508.14 | $17,638.18 | $31,993.60 |