- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,383.10 / $23,187.80 / $31,665.00
| Facility | | $13,383.10 | $23,187.80 | $31,665.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,761.00 / $22,911.13 / $33,692.00
| Facility | | $9,761.00 | $22,911.13 | $33,692.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,283.90 / $21,742.54 / $31,554.34
| Facility | | $12,283.90 | $21,742.54 | $31,554.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,370.75 / $23,370.75 / $28,378.76
| Facility | | $23,370.75 | $23,370.75 | $28,378.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,747.96 / $13,747.96 / $24,580.67
| Facility | | $13,747.96 | $13,747.96 | $24,580.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,790.20 / $23,187.80 / $31,335.90
| Facility | | $12,790.20 | $23,187.80 | $31,335.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,555.73 / $19,147.05 / $29,570.14
| Facility | | $11,555.73 | $19,147.05 | $29,570.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $9,900.41 / $13,837.53
| Facility | | $2,621.40 | $9,900.41 | $13,837.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,596.51 / $17,877.66 / $32,428.01
| Facility | | $6,596.51 | $17,877.66 | $32,428.01 |