- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,927.20 / $29,328.50 / $40,270.00
| Facility | | $16,927.20 | $29,328.50 | $40,270.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,191.00 / $33,056.49 / $45,650.00
| Facility | | $16,191.00 | $33,056.49 | $45,650.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,536.97 / $26,294.99 / $40,321.82
| Facility | | $15,536.97 | $26,294.99 | $40,321.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,559.88 / $29,559.88 / $35,894.15
| Facility | | $29,559.88 | $29,559.88 | $35,894.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,817.54 / $24,884.56 / $51,754.81
| Facility | | $11,817.54 | $24,884.56 | $51,754.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,177.40 / $29,328.50 / $40,050.60
| Facility | | $16,177.40 | $29,328.50 | $40,050.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,615.96 / $24,217.65 / $40,321.82
| Facility | | $14,615.96 | $24,217.65 | $40,321.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $14,901.54 / $21,273.11
| Facility | | $2,621.40 | $14,901.54 | $21,273.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,130.00 / $23,053.41 / $37,716.75
| Facility | | $5,130.00 | $23,053.41 | $37,716.75 |